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Individual

KATHLEEN SROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4500 E 9TH AVE, 500 S, DENVER, CO 80220
(303) 861-2190
(303) 355-4435
Mailing address
4500 E 9TH AVE, 500 S, DENVER, CO 80220
(303) 861-2190
(303) 355-4435

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
0431460
KS
207RR0500X
Rheumatology Physician
Primary
43456
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
56800355
CO
Enumeration date
04/14/2006
Last updated
07/08/2007
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