Provider Demographics
NPI:1235490822
Name:HEUGEL, KATHERINE (DPM)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:HEUGEL
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7505 VILLAGE SQUARE DR STE 101
Mailing Address - Street 2:
Mailing Address - City:CASTLE PINES
Mailing Address - State:CO
Mailing Address - Zip Code:80108-3693
Mailing Address - Country:US
Mailing Address - Phone:303-805-5156
Mailing Address - Fax:303-308-5157
Practice Address - Street 1:7505 VILLAGE SQUARE DR STE 101
Practice Address - Street 2:
Practice Address - City:CASTLE PINES
Practice Address - State:CO
Practice Address - Zip Code:80108-3693
Practice Address - Country:US
Practice Address - Phone:303-805-5156
Practice Address - Fax:303-805-5157
Is Sole Proprietor?:No
Enumeration Date:2012-05-31
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPOD.0000912213ES0103X
SC649213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery