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NPI Code Detail

MEDICARE: PROF. KATHLEEN ANN SECKINGER PNP, DNP

MEDICARE: PROF. KATHLEEN ANN SECKINGER PNP, DNP
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
1363LP0200XPediatric Nurse PractitionerAPN.0992880-NPCO
2208000000XPediatrics PhysicianAPN.0992880-NPCO

General Provider Information

NPI Number : 1205491321
Entity Type Code : Individual
Provider Name (Legal Business Name) : PROF. KATHLEEN ANN SECKINGER PNP, DNP
Provider Business Mailing Address
First Line : 7126 E BRIARWOOD DR
Second Line :
City : CENTENNIAL
State : CO
Zip : 80112-1160
Country : US
Telephone Number : 721-421-4604
Fax Number :
Provider Business Practice Location Address
First Line : 1301 CONCORD TER
Second Line :
City : SUNRISE
State : FL
Zip : 33323-2843
Country : US
Telephone Number : 303-320-2450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2019
Last Update Date : 06/09/2021

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