| NPI | 1174305601 |
|---|---|
| Doing Business As | THE WISH CLINIC |
| Entity Type | Organization |
| Authorized Contact | TRACI A. KIMBALL Owner, Physician 720-557-6510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education |
| 163WC0400X Registered Nurse Case Management | |
| 163WI0500X Registered Nurse Infusion Therapy | |
| 163WW0000X Registered Nurse Wound Care | |
| 164W00000X Licensed Practical Nurse | |
| 171400000X | |
| 1744R1102X Specialist Research Study | |
| 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | |
| 202D00000X | |
| 207QG0300X Family Medicine Geriatric Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208600000X Surgery | |
| 224Y00000X Clinical Exercise Physiologist | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2024-02-19 |