Individual
JOANNE KIECKBUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2045 FRANKLIN ST, FRANKLIN MEDICAL OFFICES, DENVER, CO 80205
(303) 614-1493
Mailing address
7304 S CODY ST, LITTLETON, CO 80128-4211
(303) 972-4960
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
72245
CO
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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