Individual
KIMBERLEY BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1217 RIVERSIDE AVE, FORT COLLINS, CO 80524-3218
(970) 472-0955
(970) 482-7802
Mailing address
1119 RIDGELAWN DR, FORT COLLINS, CO 80521-1233
(970) 214-6683
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1461
CO
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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