Kathryn A. Vidlock Granley, MD
Primary Care Sports Medicine · Parker, CO
UnclaimedMDNPI 1184662272
- Primary taxonomy
- 207QS0010X
- Enumerated
- 2006-06-02
- Practice location
- Parker, CO
- Last NPPES update
- 2019-08-12
State licenses
- CO · Physician · DRInactivethrough 2021verify
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.