Provider Demographics
NPI:1548688666
Name:HANKLA, CATHERINE CONNELL (DO)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:CONNELL
Last Name:HANKLA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:CONNELL
Other - Last Name:DUNNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 1312
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80482
Mailing Address - Country:US
Mailing Address - Phone:303-722-0300
Mailing Address - Fax:
Practice Address - Street 1:78878 US HWY 40
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:CO
Practice Address - Zip Code:80482
Practice Address - Country:US
Practice Address - Phone:970-722-0300
Practice Address - Fax:970-722-1032
Is Sole Proprietor?:No
Enumeration Date:2014-04-04
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0055735207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine