Provider Demographics
NPI:1679531099
Name:CROW, KATE DIETRICH (MS, CGC)
Entity type:Individual
Prefix:MS
First Name:KATE
Middle Name:DIETRICH
Last Name:CROW
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2222 N NEVADA AVE
Mailing Address - Street 2:PENROSE CANCER CENTER - ADMINISTRATION
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-6819
Mailing Address - Country:US
Mailing Address - Phone:719-776-6919
Mailing Address - Fax:719-776-6756
Practice Address - Street 1:2222 N NEVADA AVE
Practice Address - Street 2:PENROSE CANCER CENTER
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-6819
Practice Address - Country:US
Practice Address - Phone:719-776-6919
Practice Address - Fax:719-776-6756
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS