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Individual

MS. KATHRYN DORWEILER BOLT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1601 E 19TH AVE STE 6250, DENVER, CO 80218-1291
(303) 563-2755
(303) 861-6219
Mailing address
1601 E 19TH AVE STE 6250, DENVER, CO 80218-1291
(303) 563-2755
(303) 861-6219

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2729
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2729
COLORADO PA BOARD
CO
05
68603533
CO
Enumeration date
01/28/2008
Last updated
01/25/2022
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