Healthcare Provider Details

I. General information

NPI: 1013044189
Provider Name (Legal Business Name): KATHERINE J HLADKY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2030 MOUNTAIN VIEW AVE STE 400
LONGMONT CO
80501-3182
US

IV. Provider business mailing address

4755 OGLETOWN STANTON RD STE 1900
NEWARK DE
19718-2200
US

V. Phone/Fax

Practice location:
  • Phone: 720-652-8730
  • Fax: 720-652-8729
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberCDRH.0072023
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number2006027162
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberMD214513
License Number StateOR
# 4
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberC1-0011903
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: