Individual
KIMBERLY NEWCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11115 W. HWY. 24, UNIT 2C, DIVIDE, CO 80814
(719) 687-6416
Mailing address
PO BOX 928, DIVIDE, CO 80814-0928
(719) 687-6416
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
129525
CO
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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