Individual
KATHRYN L REANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
660 GOLDEN RIDGE RD STE 250, GOLDEN, CO 80401-9541
(303) 233-1223
Mailing address
PO BOX 176201, DENVER, CO 80217-6201
(303) 534-0388
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1489
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90421736
—
CO
Enumeration date
06/24/2005
Last updated
11/22/2021
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