MEDICARE: DR. KATHARINE JULIA LEPPARD M.D.

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	174400000X	Specialist	35343	CO

General Provider Information

NPI Number	:	1811940067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHARINE JULIA LEPPARD M.D.

Provider Business Mailing Address
First Line	:	3470 CENTENNIAL BLVD
Second Line	:	SUITE 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	:	SUITE 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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	06/15/2010

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