Basic Information
Provider Information
NPI: 1720431752
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SENKOSKY
FirstName: KATHERINE
MiddleName: VIRGINIA
NamePrefix:  
NameSuffix:  
Credential: PA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1601 E 19TH AVE STE 3300
Address2:  
City: DENVER
State: CO
PostalCode: 802181239
CountryCode: US
TelephoneNumber: 3038370072
FaxNumber: 3038370075
Practice Location
Address1: 1601 E 19TH AVE STE 3300
Address2:  
City: DENVER
State: CO
PostalCode: 802181239
CountryCode: US
TelephoneNumber: 3038370072
FaxNumber: 3038370075
Other Information
ProviderEnumerationDate: 07/14/2016
LastUpdateDate: 01/26/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000XPA.0004680COY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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