Healthcare Provider Details

I. General information

NPI: 1174798649
Provider Name (Legal Business Name): KATHERINE KUHN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2008
Last Update Date: 04/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 N COLORADO BLVD #318
DENVER CO
80206
US

IV. Provider business mailing address

700 N COLORADO BLVD #318
DENVER CO
80206
US

V. Phone/Fax

Practice location:
  • Phone: 866-801-9492
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number10745
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: