Individual
KYLE EDWIN KNIERIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(720) 848-0000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036169377
IL
207Q00000X
Family Medicine Physician
Primary
DR51509
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43225578
—
CO
Enumeration date
04/08/2009
Last updated
04/30/2024
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