Healthcare Provider Details

I. General information

NPI: 1528195575
Provider Name (Legal Business Name): LINDA M KOTTMANN MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 07/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9285 HEPBURN ST
HIGHLANDS RANCH CO
80129-2262
US

IV. Provider business mailing address

9285 HEPBURN ST
HIGHLANDS RANCH CO
80129-2262
US

V. Phone/Fax

Practice location:
  • Phone: 303-338-4545
  • Fax:
Mailing address:
  • Phone: 303-338-4545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number95949
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAPN.0001574-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: