Individual
DR. KATHLEEN BEVERLY ELMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1220 LAKE PLAZA DR STE 100, COLORADO SPRINGS, CO 80906-3548
(719) 531-5400
Mailing address
8580 SCARBOROUGH DR STE 225, COLORADO SPRINGS, CO 80920-7586
(719) 531-5400
(719) 531-9545
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
DR.0071585
CO
207N00000X
Dermatology Physician
MD60600179
WA
207N00000X
Dermatology Physician
ME58935
FL
207N00000X
Dermatology Physician
R7724
TX
Other
Enumeration date
12/05/2006
Last updated
05/06/2024
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