Individual
DR. KATHLEEN DIANE ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3702 AUTOMATION WAY STE 103, FORT COLLINS, CO 80525-5738
(970) 224-2985
(970) 223-1118
Mailing address
3702 AUTOMATION WAY STE 103, FORT COLLINS, CO 80525-5738
(970) 224-2985
(970) 223-1118
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25994
NE
207L00000X
Anesthesiology Physician
Primary
DR.0047727
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71877525
—
CO
01
—
P00748258
MEDICARE - RR
—
Enumeration date
04/07/2009
Last updated
01/08/2020
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