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Contact Information

KATRINA M PACK, MD
300 EXEMPLA CIR
SUITE 230
LAFAYETTE, CO80026-3397
 Phone: 303-689-6591
 Fax: 303-306-7753
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromuscular Medicine

2084N0008X 86 Physician/Neuropsychiatry
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for KATRINA M PACK · (Female)

NPI Number 1144517947
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2011
Last updated 02/17/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CO License # DR.0056896
  • KS License # 04-45667
  • PA License # MT200363
  • CO Other DR.0056896 COLORADO MEDICAL LICENSE
Hospital affiliation(s)
  • BOX BUTTE GENERAL HOSPITAL - (Critical Access)
    P O BOX 810, 2101 BOX BUTTE AVE
    ALLIANCE, NE 69301
  • CITIZENS MEDICAL CENTER - (Critical Access)
    100 E COLLEGE DRIVE
    COLBY, KS 67701
  • EXEMPLA GOOD SAMARITAN MEDICAL CENTER LLC - (Acute Care)
    200 EXEMPLA CIRCLE
    LAFAYETTE, CO 80026
  • REGIONAL WEST MEDICAL CENTER - (Acute Care)
    4021 AVE B
    SCOTTSBLUFF, NE 69361
  • SIDNEY REGIONAL MEDICAL CENTER - (Critical Access)
    645 OSAGE ST
    SIDNEY, NE 69162
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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