Shaver, Kathryn Mary

Shaver, Kathryn Mary is an individual health care provider with primary practice located at 11750 W 2Nd Pl Suite 255, Lakewood CO 80228-1575. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Shaver, Kathryn Mary can be contacted via phone (720) 321-8050.

Contact Information

Primary practice address
11750 W 2Nd Pl Suite 255 Lakewood CO 80228-1575
Phone: (720) 321-8050
Fax: (720) 321-8041
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN47963 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN.0002493-NP Colorado

Profile Details

NPI number 1912007451
LBN Legal business name Shaver, Kathryn Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2006
Last updated Sep 13th, 2013 - about 13 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 1912007451 NPPES
Colorado Other C801234 MEDICARE
Colorado MEDICAID 08577021 MEDICARE

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