Healthcare Provider Details

I. General information

NPI: 1346551991
Provider Name (Legal Business Name): KARA KATHLEEN CROSBY D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2010
Last Update Date: 12/13/2023
Certification Date: 12/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1746 COLE BLVD STE 320
LAKEWOOD CO
80401-3208
US

IV. Provider business mailing address

1746 COLE BLVD STE 320
LAKEWOOD CO
80401-3208
US

V. Phone/Fax

Practice location:
  • Phone: 303-234-1067
  • Fax: 303-232-2967
Mailing address:
  • Phone: 303-234-1067
  • Fax: 303-232-2967

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number10742A
License Number StateWY
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberDR.0057522
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: