Healthcare Provider Details

I. General information

NPI: 1427352533
Provider Name (Legal Business Name): KATHLEEN KAPTEYN RN BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2011
Last Update Date: 03/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S UNION BLVD
COLORADO SPRINGS CO
80910-3123
US

IV. Provider business mailing address

301 S UNION BLVD
COLORADO SPRINGS CO
80910-3123
US

V. Phone/Fax

Practice location:
  • Phone: 719-578-3199
  • Fax: 719-575-8664
Mailing address:
  • Phone: 719-578-3199
  • Fax: 719-575-8664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number191428
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: