Provider Demographics
NPI:1457522641
Name:PARODI, KATHERINE KEMPF (DPM)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:KEMPF
Last Name:PARODI
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1333 W 120TH AVE
Mailing Address - Street 2:SUITE 113
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-2708
Mailing Address - Country:US
Mailing Address - Phone:720-917-9022
Mailing Address - Fax:720-379-6759
Practice Address - Street 1:1333 W 120TH AVE
Practice Address - Street 2:SUITE 113
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-2708
Practice Address - Country:US
Practice Address - Phone:720-917-9022
Practice Address - Fax:720-379-6759
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-17
Last Update Date:2013-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO677213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
C806017Medicare PIN