Provider Demographics
NPI:1518849918
Name:KIM, KATIE MARIE (AUD, CCC-A)
Entity type:Individual
Prefix:DR
First Name:KATIE
Middle Name:MARIE
Last Name:KIM
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22151 E OTTAWA DR APT 115
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-2318
Mailing Address - Country:US
Mailing Address - Phone:720-237-2974
Mailing Address - Fax:
Practice Address - Street 1:22151 E OTTAWA DR APT 115
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-2318
Practice Address - Country:US
Practice Address - Phone:720-237-2974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAUD.0001340231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist