Individual
KATHLEEN MCCARTHY O'TOOLE DORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036116897
IL
2080P0207X
Pediatric Hematology & Oncology Physician
35.092381
OH
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
DR.0052761
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036116897
MEDICAL LICENSE
IL
01
—
35.092381
LICENSE
OH
01
—
DR.0052761
MEDICAL DOCTOR LICENSE
CO
Enumeration date
05/02/2007
Last updated
08/13/2013
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