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NPI Code Detail

MEDICARE: KATHRYNE NORA CARR PA-C

MEDICARE: KATHRYNE NORA CARR PA-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
1363AM0700XMedical Physician AssistantPA.0005205CO
2363A00000XPhysician AssistantPA.0005205CO

General Provider Information

NPI Number : 1720579139
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYNE NORA CARR PA-C
Provider Business Mailing Address
First Line : PO BOX 110429
Second Line :
City : AURORA
State : CO
Zip : 80042-0429
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12605 E 16TH AVE
Second Line :
City : AURORA
State : CO
Zip : 80045-2545
Country : US
Telephone Number : 720-848-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2018
Last Update Date : 01/29/2026

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Directions to “ KATHRYNE NORA CARR PA-C” Practice Location

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