Provider Demographics
NPI:1619189024
Name:KENNEDY, KATHLEEN ORME (PHD)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:ORME
Last Name:KENNEDY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 S CHERRY ST
Mailing Address - Street 2:SUITE 805
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1702
Mailing Address - Country:US
Mailing Address - Phone:303-757-1523
Mailing Address - Fax:303-757-2021
Practice Address - Street 1:600 S CHERRY ST
Practice Address - Street 2:SUITE 805
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1702
Practice Address - Country:US
Practice Address - Phone:303-757-1523
Practice Address - Fax:303-757-2021
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-06
Last Update Date:2009-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1574103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist