Doctor Name: | DR. KATHLEEN H MCCOOL |
NPI Number: | 1174650188 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHARMD |
License Number: | 15932 |
Business Practice Address: | 280 Exempla Cir Dept 3440 Lafayette, CO - 800263370 |
Business Phone Number: | 7205367912 |
Business Fax Number: | |
Mailing Address: | 280 Exempla Cir, Dept 3440 LAFAYETTE |
State: | CO |
Postal Code: | 800263370 |
Phone Number: | 7205367912 |
Fax Number: | 7205367940 |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15932 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |