MEDICARE: KATHRYN BIRD DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083X0100X	Occupational Medicine Physician	48493	CO

General Provider Information

NPI Number	:	1093861684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN BIRD DO

Provider Business Mailing Address
First Line	:	10355 E ILIFF AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80247-3622
Country	:	US
Telephone Number	:	303-755-4955
Fax Number	:

Provider Business Practice Location Address
First Line	:	10355 E ILIFF AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80247-3622
Country	:	US
Telephone Number	:	303-755-4955
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	11/15/2011

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Directions to “ KATHRYN BIRD DO” Practice Location

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