| NPI | 1326449646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI A. KIMBALL Owner 720-557-6510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 202D00000X | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208600000X Surgery | |
| 208D00000X General Practice | |
| 261QR1100X Clinic/Center Research | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 103K00000X Behavior Analyst | |
| 133NN1002X Nutritionist Nutrition, Education | |
| 163WC0400X Registered Nurse Case Management | |
| 163WI0500X Registered Nurse Infusion Therapy | |
| 163WW0000X Registered Nurse Wound Care | |
| 164W00000X Licensed Practical Nurse | |
| 171400000X | |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2025-04-07 |