Provider Demographics
NPI:1225652761
Name:ZHANG, KATHIE Q (MD)
Entity type:Individual
Prefix:
First Name:KATHIE
Middle Name:Q
Last Name:ZHANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12700 E 19TH AVE STE C281
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2563
Mailing Address - Country:US
Mailing Address - Phone:303-724-4852
Mailing Address - Fax:303-724-4868
Practice Address - Street 1:12700 E 19TH AVE STE C281
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2563
Practice Address - Country:US
Practice Address - Phone:303-724-4852
Practice Address - Fax:303-724-4868
Is Sole Proprietor?:No
Enumeration Date:2020-06-01
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COTL.0010038390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program