Provider Demographics
NPI:1013044189
Name:HLADKY, KATHERINE J (MD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:J
Last Name:HLADKY
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 1:4755 OGLETOWN STANTON RD STE 1900
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19718-2200
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2030 MOUNTAIN VIEW AVE STE 400
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-3182
Practice Address - Country:US
Practice Address - Phone:720-652-8730
Practice Address - Fax:720-652-8729
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCDRH.0072023207V00000X
MO2006027162207VG0400X
ORMD214513207VX0000X
DEC1-0011903207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO205476500Medicaid
IL$$$$$$$$$Medicaid
IL$$$$$$$$$Medicaid
MO205476500Medicaid