Individual
KATHLEEN J PRUDLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7701 SHERIDAN BLVD, WESTMINSTER, CO 80003-2605
(303) 657-6538
Mailing address
12398 W 70TH AVE, ARVADA, CO 80004-2334
(303) 424-5167
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
103074
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008771
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/27/2007
Last updated
03/18/2008
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