Individual
LIAM T KIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2829 STOUT ST, DENVER, CO 80205-3032
(970) 309-6667
Mailing address
2829 STOUT ST, DENVER, CO 80205-3032
(970) 309-6667
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0016569
CO
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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