Individual
DR. KATHLEEN HEIST SUDDARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1635 AURORA COURT, AURORA, CO 80045
(720) 848-2300
(720) 848-2360
Mailing address
1635 AURORA CT, F-729, AURORA, CO 80045
(720) 848-2300
(720) 848-2360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47380
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29179556
—
CO
Enumeration date
01/30/2007
Last updated
10/23/2014
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