Individual
DIANE KITCHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
8000 E MAPLEWOOD AVE, BLDG 5, STE 200, GREENWOOD VILLAGE, CO 80111
(303) 785-4700
Mailing address
8000 E MAPLEWOOD AVE, BLDG 5, SUITE 200, GREENWOOD VILLAGE, CO 80111
(303) 785-4700
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
AA2014-004
NM
367H00000X
Anesthesiologist Assistant
Primary
ANT.0000068
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144635327
—
NM
Enumeration date
06/25/2014
Last updated
01/24/2019
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