Individual
KIMSEY SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MNT
Contact information
Practice address
2259 S JOSEPHINE ST, #303, DENVER, CO 80210-4846
(512) 970-3532
Mailing address
2259 S JOSEPHINE ST, #303, DENVER, CO 80210-4846
(512) 970-3532
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
CO
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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