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Katelyn Miranda Deveraux
Student in an Organized Health Care Education/Training Program in Pueblo, Colorado
NPI 1386225522

Katelyn Miranda Deveraux is a Student in an Organized Health Care Education/Training Program based in Pueblo, CO. Katelyn Miranda Deveraux practices in Pueblo, CO. The NPI Number for Katelyn Miranda Deveraux is 1386225522 and holds a License No. TL.0008870 (Colorado).

The current practice location address for Katelyn Miranda Deveraux is 902 Lakeview Ave, Pueblo, CO and can be reached out via phone at 719-557-5855. You can also correspond with Katelyn Miranda Deveraux through the mailing address at 902 LAKEVIEW AVE, PUEBLO, CO - 81004-3597 (mailing address contact number: ).

Location: 902 Lakeview Ave, Pueblo, CO, 81004-3597
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386225522
Provider Name
Katelyn Miranda Deveraux
Credential
Provider Entity Type
Individual
Gender
Female
Address
902 Lakeview Ave, Pueblo, CO, 81004-3597
Phone Number
719-557-5855
Fax Number
Provider Enumeration Date
04/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
902 Lakeview Ave
City
Pueblo
State
Colorado
Zip
81004-3597
Phone Number
719-557-5855
Fax Number
person
Provider Business Mailing Address Details
Address
902 Lakeview Ave
City
Pueblo
State
Colorado
Zip
81004-3597
Phone Number
719-557-5855
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
TL.0008870 (Colorado)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
DR.0069707 (Colorado)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
TL.0008870 (Colorado)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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