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Kathleen M Callanan
Obstetrics & Gynecology Nurse Practitioner in Boulder, Colorado
NPI 1619011418

Kathleen M Callanan is a Obstetrics & Gynecology Nurse Practitioner based in Boulder, CO and is specialized in Obstetrics & Gynecology. Kathleen M Callanan practices in Boulder, CO. The NPI Number for Kathleen M Callanan is 1619011418 and holds a License No. 48406 (Colorado).

The current practice location address for Kathleen M Callanan is 580 Mohawk Dr, Boulder, CO and can be reached out via phone at 303-239-7294.

Location: 580 Mohawk Dr, Boulder, CO, 80302-6966
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619011418
Provider Name
Kathleen M Callanan
Credential
Provider Entity Type
Individual
Gender
Female
Address
580 Mohawk Dr, Boulder, CO, 80302-6966
Phone Number
303-239-7294
Fax Number
Provider Enumeration Date
02/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
005669 01 KAISER-COMMERCIAL NUMBER
89733711 05 CO
institution
Provider Business Practice Location Address Details
Address
580 Mohawk Dr
City
Boulder
State
Colorado
Zip
80303-3712
Phone Number
303-239-7294
Fax Number
person
Provider Business Mailing Address Details
Address
580 Mohawk Dr
City
Boulder
State
Colorado
Zip
80303-3712
Phone Number
303-239-7294
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
363LX0001X
License No.
48406 (Colorado)
Definition
Definition to come...
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