Provider Demographics
NPI:1821219742
Name:KUTCHUKIAN-BOXLEY, CAROL F (PHD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:F
Last Name:KUTCHUKIAN-BOXLEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2629 REDWING RD STE 295
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-6316
Mailing Address - Country:US
Mailing Address - Phone:970-690-2042
Mailing Address - Fax:970-372-1519
Practice Address - Street 1:2629 REDWING RD STE 295
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-6316
Practice Address - Country:US
Practice Address - Phone:970-690-2042
Practice Address - Fax:970-372-1519
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1848174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist