Provider Demographics
NPI:1659582336
Name:KALTHOFF, LAURA (MT)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:KALTHOFF
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 S BELLAIRE ST
Mailing Address - Street 2:SUITE 1210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4304
Mailing Address - Country:US
Mailing Address - Phone:303-399-2447
Mailing Address - Fax:303-691-5772
Practice Address - Street 1:1720 S BELLAIRE ST
Practice Address - Street 2:SUITE 1210
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4304
Practice Address - Country:US
Practice Address - Phone:303-399-2447
Practice Address - Fax:303-691-5772
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist