Provider Demographics
NPI:1538796826
Name:VAN DEVENTER, KATHERINE CLAIR AMMONS (MD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:CLAIR AMMONS
Last Name:VAN DEVENTER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1906 BLAKE AVE
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81601-4259
Mailing Address - Country:US
Mailing Address - Phone:970-384-6874
Mailing Address - Fax:970-945-5460
Practice Address - Street 1:1830 BLAKE AVE STE 208
Practice Address - Street 2:
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-4261
Practice Address - Country:US
Practice Address - Phone:970-945-2238
Practice Address - Fax:970-928-8926
Is Sole Proprietor?:No
Enumeration Date:2020-03-25
Last Update Date:2024-08-26
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Provider Licenses
StateLicense IDTaxonomies
CODR.0070359207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology