Provider Demographics
NPI:1669497525
Name:AHL, KATHLEEN JOY (CFA)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:JOY
Last Name:AHL
Suffix:
Gender:F
Credentials:CFA
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:
Other - Last Name:CLAESON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:54185 COUNTY ROAD 129
Mailing Address - Street 2:UNIT 969
Mailing Address - City:CLARK
Mailing Address - State:CO
Mailing Address - Zip Code:80428-9713
Mailing Address - Country:US
Mailing Address - Phone:303-570-9672
Mailing Address - Fax:970-879-1630
Practice Address - Street 1:54185 COUNTY ROAD 129
Practice Address - Street 2:UNIT 969
Practice Address - City:CLARK
Practice Address - State:CO
Practice Address - Zip Code:80428-9713
Practice Address - Country:US
Practice Address - Phone:303-570-9672
Practice Address - Fax:970-879-1630
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
00F003374700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician