Individual
KATHLEEN S CHAMPLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11245 HURON ST, WESTMINSTER, CO 80234-2806
(303) 457-1167
Mailing address
16647 ANTERO ST, BROOMFIELD, CO 80020
(303) 469-6510
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
52605
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001239
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/15/2007
Last updated
07/08/2007
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