Healthcare Provider Details

I. General information

NPI: 1205076585
Provider Name (Legal Business Name): HELEN KATHLEEN MARKLEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2009
Last Update Date: 09/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19964 HILLTOP RD STE A
PARKER CO
80134-7316
US

IV. Provider business mailing address

8890 N UNION BLVD SUITE 160
COLORADO SPRINGS CO
80920-7799
US

V. Phone/Fax

Practice location:
  • Phone: 303-841-2212
  • Fax: 303-841-4716
Mailing address:
  • Phone: 719-365-9500
  • Fax: 719-365-9969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number47351
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: