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Individual

KIMBERLY R. THEOBALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
4500 E 9TH AVE STE 740, DENVER, CO 80220-3926
(720) 941-1778
Mailing address
4500 E 9TH AVE STE 740, DENVER, CO 80220-3926
(720) 941-1778

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
162312
CO

Other

Enumeration date
07/17/2007
Last updated
10/01/2012
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