Individual
KATHLEEN B WINGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(720) 536-7213
Mailing address
11701 KEARNEY WAY, THORNTON, CO 80233-5573
(303) 551-0816
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
171579
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016983
KAISER-COMMERCIAL NUMBER
—
Enumeration date
03/07/2007
Last updated
07/08/2007
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