MEDICARE: KARA LYNN MICETICH MD

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	207V00000X	Obstetrics & Gynecology Physician	36904	CO

General Provider Information

NPI Number	:	1629042023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA LYNN MICETICH MD

Provider Business Mailing Address
First Line	:	2457 IOWA DR
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-4709
Country	:	US
Telephone Number	:	970-481-4435
Fax Number	:

Provider Business Practice Location Address
First Line	:	2457 IOWA DR
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-4709
Country	:	US
Telephone Number	:	970-481-4435
Fax Number	:

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

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	09/08/2023

Similar Medicare Providers

1205499852 — CONNECT GROW THRIVE
Practice Location Address:

4709 SPRINGER DR
FORT COLLINS, CO
80524-8926

Practice Phone: 970-484-9005
Practice Fax:

1265159883 — LITTLE BEAR & CO LLC
Practice Location Address:

4709 SPRINGER DR
FORT COLLINS, CO
80524-8926

Practice Phone: 970-405-0582
Practice Fax:

1831170224 — PREM K GUPTA MD PC
Practice Location Address:

4709 FORT HAMILTON PKWY
BROOKLYN, NY
11219-2927

Practice Phone: 718-633-4244
Practice Fax: 718-437-1556

1518906569 — AZHAR AFAQ M.D.
Practice Location Address:

1617 HEMPHILL ST
FORT WORTH, TX
76104-4709

Practice Phone: 817-927-3941
Practice Fax:

1972545291 — SURGERY CENTER OF FT PIERCE LTD
Practice Location Address:

1707 S 25TH ST
FORT PIERCE, FL
34947-4709

Practice Phone: 772-464-8900
Practice Fax: 772-464-1104

1043243512 — SHABNAM K QASIM MD
Practice Location Address:

4819 RIVEROAKS BLVD
FORT WORTH, TX
76114-4709

Practice Phone: 817-626-9744
Practice Fax: 817-626-9962

Directions to “ KARA LYNN MICETICH MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.