Individual
KIRSTY J O'DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9075 FORSSTROM DR, LONETREE, CO 80124-6737
(303) 470-1995
Mailing address
9075 FORSSTROM DRIVE, LONE TREE, CO 80124
(303) 470-1995
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
33101
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94228230
—
CO
Enumeration date
02/27/2007
Last updated
01/25/2012
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