Provider Demographics
NPI:1780831545
Name:ALLSOP, KATHERINE BARNARD (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:BARNARD
Last Name:ALLSOP
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:397 THORN APPLE WAY
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-8255
Mailing Address - Country:US
Mailing Address - Phone:720-319-4627
Mailing Address - Fax:
Practice Address - Street 1:4485 WADSWORTH BLVD
Practice Address - Street 2:105
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-3318
Practice Address - Country:US
Practice Address - Phone:303-424-6565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-24
Last Update Date:2008-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO809363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant