Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | DR.0056771 | CO |
N | 208000000X | Pediatrician | DR0056771 | CO |
NPI | 1417390063 |
---|---|
Provider Name | Kathryn Miriam Kothari |
First Address | Aurora, CO 80042-0429 |
Second Address | Denver, CO 80204-4507 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2013 |
Last Update Date | 23/07/2019 |