Basic Information
Provider Information
NPI: 1043336266
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AUER
FirstName: KATHERN
MiddleName: L
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1241 W MINERAL AVE
Address2:  
City: LITTLETON
State: CO
PostalCode: 801205685
CountryCode: US
TelephoneNumber: 3037590854
FaxNumber: 3037590864
Practice Location
Address1: 214 E 23RD ST
Address2:  
City: CHEYENNE
State: WY
PostalCode: 820013748
CountryCode: US
TelephoneNumber: 3076342273
FaxNumber: 3076337671
Other Information
ProviderEnumerationDate: 03/21/2007
LastUpdateDate: 01/02/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XTL954WYN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000X7902AWYY Allopathic & Osteopathic PhysiciansEmergency Medicine 

ID Information
IDTypeStateIssuerDescription
1002554050005NE MEDICAID
6485706905CO MEDICAID


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