Provider Demographics
NPI:1861612608
Name:LOVOI, KATHRYN LEIGH (PA-C)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:LEIGH
Last Name:LOVOI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:LEIGH
Other - Last Name:NORMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2601 MIDPOINT DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-4451
Mailing Address - Country:US
Mailing Address - Phone:970-980-2425
Mailing Address - Fax:970-980-2430
Practice Address - Street 1:2601 MIDPOINT DR
Practice Address - Street 2:SUITE 100
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-4451
Practice Address - Country:US
Practice Address - Phone:970-980-2425
Practice Address - Fax:970-980-2430
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2328363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant