Individual
MS. KIM TEABEAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2045 FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-3800
Mailing address
14178 SUN BLAZE LOOP UNIT C, BROOMFIELD, CO 80023-4565
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
175402
CO
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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