Provider Demographics
NPI:1104077585
Name:WEISS, KATHLEEN J (MD)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:J
Last Name:WEISS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 35380
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-5380
Mailing Address - Country:US
Mailing Address - Phone:303-716-8013
Mailing Address - Fax:303-763-5495
Practice Address - Street 1:8199 SOUTHPARK LN
Practice Address - Street 2:SUITE 100
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-5667
Practice Address - Country:US
Practice Address - Phone:303-730-3332
Practice Address - Fax:303-730-7766
Is Sole Proprietor?:No
Enumeration Date:2008-10-03
Last Update Date:2024-11-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH57.015992207R00000X
CODR.0050446207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine