Individual
KINA KHAMMASITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6630 TURKEY TRACKS RD, COLORADO SPRINGS, CO 80922-1365
(719) 246-8218
Mailing address
6630 TURKEY TRACKS RD, COLORADO SPRINGS, CO 80922-1365
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
00831376
CO
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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