Individual
KATHY THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12600 W COLFAX AVE, LAKEWOOD, CO 80215-3733
(303) 993-1330
(303) 647-3647
Mailing address
12600 W COLFAX AVE, LAKEWOOD, CO 80215-3733
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0996255-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000191206
—
CO
Enumeration date
03/04/2021
Last updated
01/02/2026
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