Individual
NOREEN KISHIMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16601 E CENTRETECH PKWY, AURORA, CO 80011-9045
(303) 344-7011
Mailing address
4931 S ELKHART CT, AURORA, CO 80015-2243
(303) 400-8183
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11683
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014178
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/27/2007
Last updated
07/08/2007
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