Provider Demographics
NPI:1336715069
Name:WALTER RODRIGUEZ, KAYLA ROSE (MD)
Entity type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:ROSE
Last Name:WALTER RODRIGUEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KAYLA
Other - Middle Name:ROSE
Other - Last Name:WALTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2975 ROSLYN ST UNIT 100
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-3326
Mailing Address - Country:US
Mailing Address - Phone:303-399-7900
Mailing Address - Fax:303-399-7999
Practice Address - Street 1:2975 ROSLYN ST UNIT 100
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-3326
Practice Address - Country:US
Practice Address - Phone:303-399-7900
Practice Address - Fax:303-399-7999
Is Sole Proprietor?:No
Enumeration Date:2021-06-02
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0073063208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics