Provider Demographics
NPI:1437686250
Name:BRIM HICKS, KATHRYN ROSE (DO)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ROSE
Last Name:BRIM HICKS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9670 W COAL MINE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-4004
Mailing Address - Country:US
Mailing Address - Phone:303-932-2121
Mailing Address - Fax:303-948-6704
Practice Address - Street 1:9670 W COAL MINE AVE STE 200
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-4004
Practice Address - Country:US
Practice Address - Phone:303-932-2121
Practice Address - Fax:303-948-6704
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORPG183662207R00000X
VA0102206208207R00000X, 208M00000X
CODR.74343207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist