MEDICARE: KATHARINE LEPPARD, M.D., P.C.

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	208100000X	Physical Medicine & Rehabilitation Physician	35343	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

General Provider Information

NPI Number	:	1316117575
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KATHARINE LEPPARD, M.D., P.C.

Provider Business Mailing Address
First Line	:	3470 CENTENNIAL BLVD
Second Line	:	110
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-4087
Country	:	US
Telephone Number	:	719-575-1800
Fax Number	:	719-575-1850

Provider Business Practice Location Address
First Line	:	3470 CENTENNIAL BLVD
Second Line	:	110
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-4087
Country	:	US
Telephone Number	:	719-575-1800
Fax Number	:	719-575-1850

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KATHARINE J. LEPPARD
Credential	:	M.D.
Telephone Number	:	719-575-1800

Provider Enumeration Date	:	03/04/2008
Last Update Date	:	04/02/2008

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