Provider Demographics
NPI:1255789772
Name:MACMURTRIE, KATY (DO)
Entity type:Individual
Prefix:
First Name:KATY
Middle Name:
Last Name:MACMURTRIE
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:KATY
Other - Middle Name:
Other - Last Name:MCLAUGHLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:425 S CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1226
Mailing Address - Country:US
Mailing Address - Phone:720-712-0300
Mailing Address - Fax:727-341-4865
Practice Address - Street 1:425 S CHERRY ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1226
Practice Address - Country:US
Practice Address - Phone:720-712-0300
Practice Address - Fax:727-341-4889
Is Sole Proprietor?:No
Enumeration Date:2016-05-25
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXV09492084P0800X
AZ0110592084P0800X
GA988212084P0800X
CODR.00657652084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry