Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 0101042631 | VA |
N | 207N00000X | Dermatologist | 027907 | GA |
Y | 207N00000X | Dermatologist | 25124 | CO |
N | 207N00000X | Dermatologist | 39079 | NC |
NPI | 1053303115 |
---|---|
Provider Name | Kathleen Yumi Sawada |
First Address | Arvada, CO 80007-7675 |
Second Address | Golden, CO 80401-5027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2005 |
Last Update Date | 05/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E67535 | (02) |