Provider Demographics
NPI:1285067520
Name:ARBUCKLE, KATHRINE A (RN)
Entity type:Individual
Prefix:
First Name:KATHRINE
Middle Name:A
Last Name:ARBUCKLE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9948 ARTHUR LN
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80130-8009
Mailing Address - Country:US
Mailing Address - Phone:303-790-7625
Mailing Address - Fax:
Practice Address - Street 1:9948 ARTHUR LN
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80130-8009
Practice Address - Country:US
Practice Address - Phone:303-790-7625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-09
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.0197218163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse