Kathryn Mandelbaum Johnson in Boulder - Medical
Kathryn Mandelbaum Johnson - NPI 1205911328
Kathryn Mandelbaum Johnson is a Medical in Boulder, Colorado. Kathryn Mandelbaum Johnson practices all healthcare services and medical treatments related to Medical. The NPI Number for Kathryn Mandelbaum Johnson is 1205911328. The last update date is 2012-10-08.
Kathryn Mandelbaum Johnson's current location address is 345 Maxwell Ave, Boulder, Colorado. You can contact this provider via phone number 3035445783 and fax number 3034412388. The mailing address for Kathryn Mandelbaum Johnson is 345 Maxwell Ave, Boulder, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathryn Mandelbaum Johnson |
|---|---|
| Address | 345 Maxwell Ave, Boulder, Colorado |
| Phone Number | 3035445783 |
| Fax Number | 3034412388 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1205911328 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2012-10-08 |
Provider Mailing Address Detail
| Address | 345 Maxwell Ave |
|---|---|
| City | Boulder |
| State | Colorado (CO) |
| Post Code | 803043972 |
| Phone Number | 3035445783 |
| Fax Number | 3034412388 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 3470 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the Kathryn Mandelbaum Johnson's 1205911328?
The Kathryn Mandelbaum Johnson's NPI (National Provider Identifier) Number is 1205911328. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kathryn Mandelbaum Johnson's facilities are geographically located?
The facilities of Kathryn Mandelbaum Johnson are physically situated at the following location: 345 Maxwell Ave, Boulder, CO, 803043972.
What is Kathryn Mandelbaum Johnson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kathryn Mandelbaum Johnson is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.
On what date did Kathryn Mandelbaum Johnson receive its 1205911328 assignment from the Centers for Medicare & Medicaid Services?
The Kathryn Mandelbaum Johnson was assigned its 1205911328 on 2006-10-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kathryn Mandelbaum Johnson most recently updated?
The details pertaining to the Kathryn Mandelbaum Johnson, including its address, specialty, and other relevant information, were last refreshed on 2012-10-08.