Individual
KIMBERLY LYNNE SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4674 SNOW MESA DR, SUITE 200, FORT COLLINS, CO 80528-8615
(970) 495-8450
(970) 297-6599
Mailing address
4674 SNOW MESA DR, SUITE 200, FORT COLLINS, CO 80528-8615
(970) 495-8450
(970) 297-6599
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
12556
MT
2083P0901X
Public Health & General Preventive Medicine Physician
A84994
CA
2083P0901X
Public Health & General Preventive Medicine Physician
DR.0055719
CO
2083X0100X
Occupational Medicine Physician
Primary
DR.0055719
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A849940
—
CA
05
—
26780071
—
CO
01
—
C423870
NUID
—
Enumeration date
12/08/2006
Last updated
05/18/2016
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