Provider Demographics
NPI:1326096280
Name:SPRINGER, KATHRYN LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:LEE
Last Name:SPRINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KATHRYN
Other - Middle Name:ANN
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:950 E HARVARD AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-7007
Mailing Address - Country:US
Mailing Address - Phone:303-777-0781
Mailing Address - Fax:303-777-0786
Practice Address - Street 1:950 E HARVARD AVE STE 140
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-7007
Practice Address - Country:US
Practice Address - Phone:303-777-0781
Practice Address - Fax:303-777-0786
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO39777207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO14002230Medicaid
CO14002230Medicaid
H20279Medicare UPIN