Provider Demographics
NPI:1548840028
Name:COLWELL, KATHRYN (DO)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:COLWELL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:AITKENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:11212 STATE HIGHWAY 151 STE 250
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4507
Mailing Address - Country:US
Mailing Address - Phone:210-703-8800
Mailing Address - Fax:210-703-8940
Practice Address - Street 1:11212 STATE HIGHWAY 151 PLAZA II STE 250
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-4507
Practice Address - Country:US
Practice Address - Phone:210-749-5055
Practice Address - Fax:210-703-8940
Is Sole Proprietor?:No
Enumeration Date:2021-04-09
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXV1432207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine