Provider Demographics
NPI:1477639979
Name:DRAPEAU, KATHERINE LOUISE (DO)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:LOUISE
Last Name:DRAPEAU
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:PO BOX 9
Mailing Address - Street 2:20 E. LAKEVIEW DR. SUITE 109
Mailing Address - City:NEDERLAND
Mailing Address - State:CO
Mailing Address - Zip Code:80466-0009
Mailing Address - Country:US
Mailing Address - Phone:970-945-2840
Mailing Address - Fax:303-258-7140
Practice Address - Street 1:562 GREGORY ST.
Practice Address - Street 2:
Practice Address - City:BLACK HAWK
Practice Address - State:CO
Practice Address - Zip Code:80422-0066
Practice Address - Country:US
Practice Address - Phone:970-945-2840
Practice Address - Fax:303-582-1003
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO27765207Q00000X
CODR.00277652083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01277656Medicaid
840742145OtherEIN
840742145OtherEIN