Healthcare Provider Details

I. General information

NPI: 1164566956
Provider Name (Legal Business Name): KATHLEEN B HUGGINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 11/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2045 FRANKLIN ST
DENVER CO
80205-5437
US

IV. Provider business mailing address

423 DAHLIA ST
DENVER CO
80220-5105
US

V. Phone/Fax

Practice location:
  • Phone: 303-764-4559
  • Fax:
Mailing address:
  • Phone: 303-377-5236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246XC2901X
TaxonomyCardiovascular Invasive Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: