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NPI Code Detail

MEDICARE: DR. KATHLEEN WALKER MAYER MD

MEDICARE: DR. KATHLEEN WALKER MAYER MD
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
1207R00000XInternal Medicine Physician37902CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2011804OTHERCOKAISER COMMERCIAL NUMBER
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457488439
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHLEEN WALKER MAYER MD
Provider Business Mailing Address
First Line : 3136 GARIBALDI DR
Second Line :
City : ROSEVILLE
State : CA
Zip : 95747-5976
Country : US
Telephone Number : 303-249-7335
Fax Number :
Provider Business Practice Location Address
First Line : 3000 LAWRENCE ST # 101
Second Line :
City : DENVER
State : CO
Zip : 80205-3422
Country : US
Telephone Number : 720-689-5269
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 03/14/2025

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Directions to “ DR. KATHLEEN WALKER MAYER MD” Practice Location

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