Basic Information
| Provider Information | |||||||||
| NPI: | 1891740932 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | D'ANGELO | ||||||||
| FirstName: | KATHLEEN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4900 S MONACO ST | ||||||||
| Address2: | SUITE 210 | ||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802373486 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3036500445 | ||||||||
| FaxNumber: | 3034295088 | ||||||||
| Practice Location | |||||||||
| Address1: | 12207 PECOS ST | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | WESTMINSTER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802343400 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3036500445 | ||||||||
| FaxNumber: | 3034295088 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/24/2006 | ||||||||
| LastUpdateDate: | 04/04/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RS0010X | 39012 | CO | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Sports Medicine |
No ID Information.