Individual
MS. KIMBERLY THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6169 S BALSAM WAY, SUITE 330, LITTLETON, CO 80123-3062
(303) 933-8230
(303) 922-1145
Mailing address
6169 S BALSAM WAY, SUITE 330, LITTLETON, CO 80123-3062
(303) 933-8230
(303) 922-1145
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
000002987
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76627772
MEDICAID
CO
Enumeration date
01/19/2015
Last updated
01/19/2015
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