Provider Demographics
NPI:1356481758
Name:MUGLER, KIMBERLY CATHERINE (MD)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:CATHERINE
Last Name:MUGLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7721 E 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-6105
Mailing Address - Country:US
Mailing Address - Phone:303-344-1774
Mailing Address - Fax:
Practice Address - Street 1:7346 S ALTON WAY
Practice Address - Street 2:UNIT 10-E
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-2327
Practice Address - Country:US
Practice Address - Phone:303-770-4848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO44335207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology