Provider Demographics
NPI:1598737264
Name:SOLOMON, KATHLEEN JOY (LPN)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:JOY
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:LPN
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Mailing Address - Street 1:DEPT OF THE ARMY USA MEDDAC EVANS ARMY COMM HOSPITAL
Mailing Address - Street 2:1650 COCHRAN CIRCLE
Mailing Address - City:FT CARSON
Mailing Address - State:CO
Mailing Address - Zip Code:80913-4604
Mailing Address - Country:US
Mailing Address - Phone:719-526-7640
Mailing Address - Fax:719-526-7019
Practice Address - Street 1:DEPT OF THE ARMY USA MEDDAC EVANS ARMY COMM HOSPITAL
Practice Address - Street 2:OB GYN CLINIC
Practice Address - City:FT CARSON
Practice Address - State:CO
Practice Address - Zip Code:80913-4604
Practice Address - Country:US
Practice Address - Phone:719-524-6677
Practice Address - Fax:719-526-7850
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-06
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CO26178164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse