Daetwyler, Kathleen A

Daetwyler, Kathleen A is an individual health care provider with primary practice located at 10240 Park Meadows Dr , Lone Tree CO 80124-5425. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Daetwyler, Kathleen A can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
10240 Park Meadows Dr Lone Tree CO 80124-5425
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X BC5174494-374 Massachusetts
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0054867 Colorado

Profile Details

NPI number 1134352818
LBN Legal business name Daetwyler, Kathleen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2009
Last updated Apr 26th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134352818 NPPES
Colorado Other 026021 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 70053235 KAISER COMMERCIAL NUMBER

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