Basic Information
Provider Information
NPI: 1639349061
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: APLIN
FirstName: KATHLYNE
MiddleName: L
NamePrefix: MRS.
NameSuffix:  
Credential: MT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: DUNN
OtherFirstName: KATHLYNE
OtherMiddleName: L
OtherNamePrefix: MRS.
OtherNameSuffix:  
OtherCredential: MT
OtherLastNameType: 1
Mailing Information
Address1: 1055 CLERMONT ST.
Address2:  
City: DENVER
State: CO
PostalCode: 80220
CountryCode: US
TelephoneNumber: 3038414307
FaxNumber:  
Practice Location
Address1: 1055 CLERMONT ST
Address2:  
City: DENVER
State: CO
PostalCode: 802203808
CountryCode: US
TelephoneNumber: 3033998020
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/29/2008
LastUpdateDate: 02/29/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
246RM2200X  Y Technologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical Laboratory

No ID Information.


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