Provider Demographics
NPI:1861808925
Name:KOTO, KAREN (DO)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:KOTO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 W COUNTY LINE RD STE 110
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2319
Mailing Address - Country:US
Mailing Address - Phone:303-791-9999
Mailing Address - Fax:
Practice Address - Street 1:206 W COUNTY LINE RD STE 110
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2319
Practice Address - Country:US
Practice Address - Phone:303-791-9999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-09
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDO188523208000000X
CODR.0069109208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics