Organization
KINGFISHER FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROD DAWN GRABER (ADMINISTRATOR)
(303) 495-2166
Entity
Organization
Contact information
Practice address
209 MAIN STREET, UNIT B, MEAD, CO 80542
(303) 495-2166
(303) 328-2304
Mailing address
P.O .BOX 177, MEAD, CO 80542
(303) 495-2166
(303) 328-2304
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-10086
CO
Other
Enumeration date
02/24/2010
Last updated
05/04/2011
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