Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | DR.0060790 | CO |
NPI | 1033599121 |
---|---|
Provider Name | Kristin Putnam |
First Address | Parker, CO 80134-9498 |
Second Address | Parker, CO 80134 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2015 |
Last Update Date | 20/08/2018 |