Provider Demographics
NPI:1699115220
Name:COLLINS, KATHERYN MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:KATHERYN
Middle Name:MARIE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 W REID AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-6582
Mailing Address - Country:US
Mailing Address - Phone:308-221-6899
Mailing Address - Fax:
Practice Address - Street 1:810 W REID AVE STE 1
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-6582
Practice Address - Country:US
Practice Address - Phone:308-530-7202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-27
Last Update Date:2017-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1762111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor