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NPI Code Detail

MEDICARE: DR. KATHERINE J FLESIA D.C.

MEDICARE: DR. KATHERINE J FLESIA D.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
1111N00000XChiropractor1627CO

General Provider Information

NPI Number : 1891817524
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHERINE J FLESIA D.C.
Provider Business Mailing Address
First Line : 232 E MONUMENT ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80903-1004
Country : US
Telephone Number : 719-633-7575
Fax Number : 719-633-7878
Provider Business Practice Location Address
First Line : 232 E MONUMENT ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80903-1004
Country : US
Telephone Number : 719-633-7575
Fax Number : 719-633-7878
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2007
Last Update Date : 07/08/2007

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