Provider Demographics
NPI:1437289287
Name:ANDREWS, KATHLEEN L (RN)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:L
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6855 NEWLAND ST
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-3638
Mailing Address - Country:US
Mailing Address - Phone:303-861-3610
Mailing Address - Fax:
Practice Address - Street 1:6855 NEWLAND ST
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-3638
Practice Address - Country:US
Practice Address - Phone:303-861-3610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO124391208600000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
017591OtherKAISER-COMMERCIAL NUMBER