Individual
KATHLEEN JOANN NYLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 743-5855
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 344-7875
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
108063
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008692
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/27/2007
Last updated
07/08/2007
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