Basic Information
Provider Information
NPI: 1750745915
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LOGOTHETIS
FirstName: KATHRYN
MiddleName: BRITT
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2930 GILPIN ST
Address2:  
City: DENVER
State: CO
PostalCode: 80205
CountryCode: US
TelephoneNumber: 8435685472
FaxNumber: 8048285466
Practice Location
Address1: 15 W. DRY CREEK CIRCLE
Address2:  
City: LITTLETON
State: CO
PostalCode: 80120
CountryCode: US
TelephoneNumber: 3039521100
FaxNumber: 3039528185
Other Information
ProviderEnumerationDate: 04/13/2016
LastUpdateDate: 08/18/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/18/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X0101266411VAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RP1001XDR.0067860COY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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