Provider Demographics
NPI:1669932075
Name:RAWLS, KATHRYN (AUD)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:
Last Name:RAWLS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:KATHY
Other - Middle Name:
Other - Last Name:RAWLS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD
Mailing Address - Street 1:300 S JACKSON ST STE 340
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-3134
Mailing Address - Country:US
Mailing Address - Phone:303-698-7378
Mailing Address - Fax:720-835-0042
Practice Address - Street 1:300 S JACKSON ST STE 340
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-3134
Practice Address - Country:US
Practice Address - Phone:303-698-7378
Practice Address - Fax:720-835-0042
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAUD.0000955237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCO0000955OtherSTATE LICENSE