Provider Demographics
NPI:1891740932
Name:D'ANGELO, KATHLEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:
Last Name:D'ANGELO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4900 S MONACO ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-650-0445
Mailing Address - Fax:303-429-5088
Practice Address - Street 1:12207 PECOS ST
Practice Address - Street 2:SUITE 300
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-3400
Practice Address - Country:US
Practice Address - Phone:303-650-0445
Practice Address - Fax:303-429-5088
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2012-04-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO39012207RS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0010XAllopathic & Osteopathic PhysiciansInternal MedicineSports Medicine