Provider Demographics
NPI:1417948985
Name:COMPTON, KATHERIN C (DO)
Entity Type:Individual
Prefix:
First Name:KATHERIN
Middle Name:C
Last Name:COMPTON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7447 E BERRY AVE
Mailing Address - Street 2:#250
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2146
Mailing Address - Country:US
Mailing Address - Phone:303-770-4227
Mailing Address - Fax:303-770-4231
Practice Address - Street 1:7447 E BERRY AVE
Practice Address - Street 2:# 250
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2146
Practice Address - Country:US
Practice Address - Phone:303-770-4227
Practice Address - Fax:303-770-4231
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO43195207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I39495Medicare UPIN