Individual
KATHLEEN M CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2955 S BROADWAY, ENGLEWOOD, CO 80113-1526
(303) 788-1118
Mailing address
601 S GRANT ST, DENVER, CO 80209-4117
(303) 733-4391
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45229
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016703
KAISER-COMMERCIAL NUMBER
—
Enumeration date
03/07/2007
Last updated
07/08/2007
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