Provider Demographics
NPI:1669574208
Name:KADLER, KAREN MARY (MD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:MARY
Last Name:KADLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4999 E KENTUCKY AVE
Mailing Address - Street 2:SUITE #200
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-3901
Mailing Address - Country:US
Mailing Address - Phone:303-758-1611
Mailing Address - Fax:303-758-3687
Practice Address - Street 1:4999 E KENTUCKY AVE
Practice Address - Street 2:SUITE #200
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-3901
Practice Address - Country:US
Practice Address - Phone:303-758-1611
Practice Address - Fax:303-758-3687
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO25087207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01250877Medicaid
CO25087OtherLICENSE
AK2120107OtherDEA
CO01250877Medicaid
AK2120107OtherDEA