Provider Demographics
NPI:1437492063
Name:HUCKABEE, KATHERINE MICHELLE (PA)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:MICHELLE
Last Name:HUCKABEE
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:7951 E MAPLEWOOD AVE STE 350
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4758
Mailing Address - Country:US
Mailing Address - Phone:303-930-7803
Mailing Address - Fax:303-930-5503
Practice Address - Street 1:4715 ARAPAHOE AVE STE 350
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-1386
Practice Address - Country:US
Practice Address - Phone:303-385-2000
Practice Address - Fax:303-267-4419
Is Sole Proprietor?:No
Enumeration Date:2013-04-02
Last Update Date:2025-11-21
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Provider Licenses
StateLicense IDTaxonomies
CO0003655363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant