Individual
MRS. KIMBERLY DIANE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-A
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
Mailing address
3526 CONEFLOWER DR, FORT COLLINS, CO 80521-7541
(970) 221-1203
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
323
CO
Other
Enumeration date
07/01/2006
Last updated
07/08/2007
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