Individual
DR. KATHERINE BETH HISERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
1400 JACKSON ST, DENVER, CO 80206
(303) 388-4461
(303) 270-2206
Mailing address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 398-1211
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
61860
CO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD60136196
WA
207RP1001X
Pulmonary Disease Physician
Primary
61860
CO
207RP1001X
Pulmonary Disease Physician
MD60136196
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235313131
—
CO
05
—
1235313131
—
WA
01
—
840258
MEDICARE PTAN
CO
Enumeration date
12/27/2007
Last updated
11/12/2020
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