Individual
KIMBERLY WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
4318 TRAIL BOSS DR, CASTLE ROCK, CO 80104-7512
(303) 817-4110
Mailing address
16780 ROLLING HILLS PL, PARKER, CO 80134-3047
(303) 807-7969
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
0129375
CO
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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