Basic Information
| Provider Information | |||||||||
| NPI: | 1053303115 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAWADA | ||||||||
| FirstName: | KATHLEEN | ||||||||
| MiddleName: | YUMI | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16608 W 69TH CIR | ||||||||
| Address2: | |||||||||
| City: | ARVADA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800077675 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3034223843 | ||||||||
| FaxNumber: | 3034221215 | ||||||||
| Practice Location | |||||||||
| Address1: | 400 INDIANA ST | ||||||||
| Address2: | SUITE 390 | ||||||||
| City: | GOLDEN | ||||||||
| State: | CO | ||||||||
| PostalCode: | 804015027 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3034639600 | ||||||||
| FaxNumber: | 3034039919 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/16/2005 | ||||||||
| LastUpdateDate: | 02/05/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207N00000X | 25124 | CO | Y | Allopathic & Osteopathic Physicians | Dermatology | 207N00000X | 027907 | GA | N | Allopathic & Osteopathic Physicians | Dermatology | 207N00000X | 0101042631 | VA | N | Allopathic & Osteopathic Physicians | Dermatology | 207N00000X | 39079 | NC | N | Allopathic & Osteopathic Physicians | Dermatology |
No ID Information.