Individual
KATHLEEN MARIE RUSTICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2807 ROSLYN ST, DENVER, CO 80238-2624
(303) 403-6333
(303) 403-6325
Mailing address
12631 E 17TH AVE, PO BOX 6511, AURORA, CO 80045-2527
(303) 724-2052
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
51637
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86270745
—
CO
Enumeration date
04/08/2008
Last updated
01/31/2013
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