Provider Demographics
NPI:1073812244
Name:MESSANA, KATIE MAE (DO)
Entity Type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:MAE
Last Name:MESSANA
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:10345 PARKGLENN WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-3884
Mailing Address - Country:US
Mailing Address - Phone:720-851-5200
Mailing Address - Fax:720-851-5222
Practice Address - Street 1:10345 PARKGLENN WAY STE 100
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-3884
Practice Address - Country:US
Practice Address - Phone:720-851-5200
Practice Address - Fax:720-851-5222
Is Sole Proprietor?:No
Enumeration Date:2011-03-27
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CODR.0057140207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology