Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 33081 | CO |
N | 2080A0000X | Adolescent Medicine | 33081 | CO |
N | 2080P0205X | Pediatric Endocrinologist | 33081 | CO |
NPI | 1063527653 |
---|---|
Provider Name | Kathryn A Love-Osborne |
First Address | Denver, CO 80204-4507 |
Second Address | Denver, CO 80204-4507 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 02/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
49607871 | (05) | CO |
F96217 | (02) |