Individual
KIMBERLY ANN DANNULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13123 E 16TH AVE # 125, AURORA, CO 80045-7106
(720) 777-8509
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
(303) 493-7202
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
DR.0050293
CO
2085R0202X
Diagnostic Radiology Physician
44573
TN
2085R0202X
Diagnostic Radiology Physician
50293
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10786864
—
CO
Enumeration date
01/18/2010
Last updated
06/05/2024
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