Provider Demographics
NPI:1114165297
Name:REED, KATHRYN LEE (MS, RNC, NP)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:LEE
Last Name:REED
Suffix:
Gender:F
Credentials:MS, RNC, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2352 MEADOWS BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-8405
Mailing Address - Country:US
Mailing Address - Phone:303-795-3110
Mailing Address - Fax:303-795-6992
Practice Address - Street 1:2352 MEADOWS BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-8405
Practice Address - Country:US
Practice Address - Phone:303-795-3110
Practice Address - Fax:303-795-6992
Is Sole Proprietor?:No
Enumeration Date:2009-01-28
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5392363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health