Individual
KIM REDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 PEPPERWOOD DR, COLORADO SPRINGS, CO 80910-1525
(719) 632-5700
(719) 344-7817
Mailing address
3205 N ACADEMY BLVD, SUITE 130, COLORADO SPRINGS, CO 80917-5101
(719) 632-5700
(719) 344-7837
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
613
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80203744
—
CO
Enumeration date
09/27/2006
Last updated
04/04/2017
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