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General NPI Number Information
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NPI Number | 1992641286
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Entity Type | Individual
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Provider Name | KATHLEEN O'MALLEY APN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 9101 HARLAN ST UNIT 250
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City | WESTMINSTER
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State | CO
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Zip | 80031-2973
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Country | US
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Telephone | 720-458-5413
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Fax |
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Provider Business Mailing Address
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Address Line | 3021 LEAFDALE DR
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City | CASTLE ROCK
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State | CO
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Zip | 80109-3760
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Country | US
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Telephone | 847-431-8382
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.1001911
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License Number State | CO
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