Individual
MS. KATHLEEN J WILLEMYNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
5920 MCINTYRE ST, GOLDEN, CO 80403
(303) 434-4876
(303) 225-4246
Mailing address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(720) 434-4876
(303) 225-4246
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN.0004644-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16435231
—
CO
Enumeration date
02/06/2006
Last updated
10/18/2018
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