Individual
KATHY F. MCCRANIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1380 S SANTA FE DR, SUITE 100, DENVER, CO 80223-3260
(303) 777-3422
(303) 777-3425
Mailing address
1380 S SANTA FE DR, SUITE 100, DENVER, CO 80223-3260
(303) 777-3422
(303) 777-3425
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
30645
CO
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
30645
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33089833
—
CO
01
—
MC14614
BLUE CROSS BLUE SHIELD
CO
Enumeration date
03/23/2006
Last updated
08/09/2007
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