Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | A108246 | CA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | DR.0051634 | CO |
NPI | 1245433465 |
---|---|
Provider Name | Dr. Jennifer Kristen Hodges |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-2545 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2007 |
Last Update Date | 25/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A1082460 | (05) | CA |
35900237 | (05) | CO |