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Mrs. Kathryn A Vidlock Granley

Family Doctor Family Doctor - Sports Medicine

12760 Stroh Ranch Way Ste 202
Parker , Colorado 80134-7507

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Mrs. Kathryn A Vidlock Granley

Family Doctor Family Doctor - Sports Medicine

12760 Stroh Ranch Way Ste 202
Parker , Colorado 80134-7507

(720) 851-5801

Write a Review Save Call

Mrs. Kathryn A Vidlock Granley

Family Doctor Family Doctor - Sports Medicine

12760 Stroh Ranch Way Ste 202
Parker , Colorado 80134-7507

(720) 851-5801 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor
  • Family Doctor - Sports Medicine

Languages spoken

  • English

Location

12760 Stroh Ranch Way Ste 202 Parker , Colorado 80134-7507

First Address

  • Mrs. Kathryn A Vidlock Granley
  • 12760 Stroh Ranch Way Ste 202
  • Parker, CO
  • Zip : 80134-7507
  • Fax : (720) 851-5801
  • Phone : (720) 851-5420

Second Address

  • Mrs. Kathryn A Vidlock Granley
  • 12760 Stroh Ranch Way Ste 202
  • Parker, CO
  • Zip : 80134-7507
  • Fax : (720) 851-5801
  • Phone : (720) 851-5420

Reviews

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FAQs


Where did Mrs. Kathryn A Vidlock Granley attend graduate school?

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Where did Mrs. Kathryn A Vidlock Granley do her residency?

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Where did Mrs. Kathryn A Vidlock Granley do her fellowship?

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Is Mrs. Kathryn A Vidlock Granley board certified?

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What type of doctor is Mrs. Kathryn A Vidlock Granley

Family Doctor - Sports Medicine

In what state does Mrs. Kathryn A Vidlock Granley practice in?

Colorado

Where is Mrs. Kathryn A Vidlock Granley ’s practice located?

12760 Stroh Ranch Way Ste 202 , Parker, Colorado, 80134-7507

What is Mrs. Kathryn A Vidlock Granley ’s gender?

Female

Is Mrs. Kathryn A Vidlock Granley a sole practitioner?

No

Is Mrs. Kathryn A Vidlock Granley accepting new patients?

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What languages does Mrs. Kathryn A Vidlock Granley speak?

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Does Mrs. Kathryn A Vidlock Granley accept insurance?

Yes, Mrs. Kathryn A Vidlock Granley accepts insurance

Does Mrs. Kathryn A Vidlock Granley offers telemedicine?

Mrs. Kathryn A Vidlock Granley has not indicated if she offers telemedicine

What is Mrs. Kathryn A Vidlock Granley ’s professional license number?

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What is Mrs. Kathryn A Vidlock Granley ’s NPI number?

1184662272

Does Mrs. Kathryn A Vidlock Granley have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207Q00000X Family Doctor 52345 CO
Y 207QS0010X Family Doctor - Sports Medicine 52345 CO

National Provider Identifier

NPI 1184662272
Provider Name Mrs. Kathryn A Vidlock Granley
First Address Parker, CO 80134-7507
Second Address Parker, CO 80134-7507
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 02/06/2006
Last Update Date 12/08/2019

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
G84388 (02) MN

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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