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NPI Code Detail

MEDICARE: MS. KATHERINE LOU CARR-ANDERSON B.F.A.

MEDICARE: MS. KATHERINE LOU CARR-ANDERSON B.F.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1043341464
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHERINE LOU CARR-ANDERSON B.F.A.
Provider Business Mailing Address
First Line : 911 4TH ST APT A
Second Line :
City : GOLDEN
State : CO
Zip : 80403-2475
Country : US
Telephone Number : 303-273-5905
Fax Number :
Provider Business Practice Location Address
First Line : 456 BANNOCK ST
Second Line :
City : DENVER
State : CO
Zip : 80204-5126
Country : US
Telephone Number : 303-504-1700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 07/08/2007

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