1316117575 NPI number — KATHARINE LEPPARD, M.D., P.C.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316117575 NPI number — KATHARINE LEPPARD, M.D., P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KATHARINE LEPPARD, M.D., P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MEDICAL REHABILITATION SPECIALISTS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316117575
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/02/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3470 CENTENNIAL BLVD
Provider Second Line Business Mailing Address:
110
Provider Business Mailing Address City Name:
COLORADO SPRINGS
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80907-4087
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
719-575-1800
Provider Business Mailing Address Fax Number:
719-575-1850

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3470 CENTENNIAL BLVD
Provider Second Line Business Practice Location Address:
110
Provider Business Practice Location Address City Name:
COLORADO SPRINGS
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80907-4087
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
719-575-1800
Provider Business Practice Location Address Fax Number:
719-575-1850
Provider Enumeration Date:
03/04/2008

Additional Information

Authorized Official

Authorized Official Last Name:
LEPPARD
Authorized Official First Name:
KATHARINE
Authorized Official Middle Name:
J.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
719-575-1800

Provider Taxonomy Codes

  • Taxonomy code: 208100000X , with the licence number:  35343 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 37926870 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".




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