Provider Demographics
NPI:1427290923
Name:ROBINETTE, KATHERINE (LAC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:ROBINETTE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:KAPUSNIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:3470 S SHERMAN ST
Mailing Address - Street 2:#1
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2680
Mailing Address - Country:US
Mailing Address - Phone:303-800-7604
Mailing Address - Fax:
Practice Address - Street 1:3470 S SHERMAN ST
Practice Address - Street 2:#1
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2680
Practice Address - Country:US
Practice Address - Phone:303-800-7604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-30
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACU.0001810171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist