Provider Demographics
NPI:1831161157
Name:COERVER, KATHERINE A (MD)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:A
Last Name:COERVER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5975 S QUEBEC ST STE 150
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4554
Mailing Address - Country:US
Mailing Address - Phone:303-790-8899
Mailing Address - Fax:303-790-2810
Practice Address - Street 1:5975 S QUEBEC ST STE 150
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-4554
Practice Address - Country:US
Practice Address - Phone:303-790-8899
Practice Address - Fax:303-790-2810
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-02
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR00551492084B0040X
MDD00621152084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I09422Medicare UPIN