Pack, Katrina Marie

Pack, Katrina Marie is an individual health care provider with primary practice located at 300 Exempla Cir Suite 230, Lafayette CO 80026-3397. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neuromuscular Medicine. Allopathic & Osteopathic Physicians / Neuromuscular Medicine is her primary health care specialty. Pack, Katrina Marie can be contacted via phone (303) 689-6591.

Contact Information

Primary practice address
300 Exempla Cir Suite 230 Lafayette CO 80026-3397
Phone: (303) 689-6591
Fax: (303) 306-7753
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MT200363 Pennsylvania
Allopathic & Osteopathic Physicians / Neurology 2084N0400X DR.0056896 Colorado
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 04-45667 Kansas
Allopathic & Osteopathic Physicians / Neuromuscular Medicine 2084N0008X DR.0056896 Colorado

Profile Details

NPI number 1144517947
LBN Legal business name Pack, Katrina Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2011
Last updated Feb 17th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144517947 NPPES
Colorado Other DR.0056896 COLORADO MEDICAL LICENSE

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