1154190932 NPI number — DR. KATHERINE CHRISTINE STEPHENS MD ABFM MBCHB DRCOG

Table of content: DR. KATHERINE CHRISTINE STEPHENS MD ABFM MBCHB DRCOG (NPI 1154190932)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154190932 NPI number — DR. KATHERINE CHRISTINE STEPHENS MD ABFM MBCHB DRCOG

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STEPHENS
Provider First Name:
KATHERINE
Provider Middle Name:
CHRISTINE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD ABFM MBCHB DRCOG
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MCKIE
Provider Other First Name:
KATHERINE
Provider Other Middle Name:
STEPHENS
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD ABFM MBCHB DRCOG
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1154190932
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/11/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
18746 64.95 ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONTROSE
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
81403
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-275-5227
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1404 HAWK PKWY UNIT 217D
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONTROSE
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
81401-6410
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-275-5227
Provider Business Practice Location Address Fax Number:
970-447-1559
Provider Enumeration Date:
12/21/2023

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  DR.0072238 , 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)





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