MEDICARE: KATARZYNA ZOFIA KOCOL D.O.

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
1	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	1627	SC
2	2081N0008X	Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician	DR.0056858	CO
3	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	DR.0056858	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093919235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATARZYNA ZOFIA KOCOL D.O.

Provider Business Mailing Address
First Line	:	PO BOX 911244
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80291-1244
Country	:	US
Telephone Number	:	800-953-0104
Fax Number	:	303-765-6640

Provider Business Practice Location Address
First Line	:	4350 LIMELIGHT AVE STE 100
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80109-8034
Country	:	US
Telephone Number	:	720-455-3775
Fax Number	:	720-455-3776

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2007
Last Update Date	:	07/21/2022

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Directions to “ KATARZYNA ZOFIA KOCOL D.O.” Practice Location

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