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Individual

DR. MARY ELIZABETH KIRKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
630 15TH AVE, #103, LONGMONT, CO 80501-2700
(303) 776-0600
(303) 776-0778
Mailing address
630 15TH AVE, #103, LONGMONT, CO 80501-2700
(303) 776-0600
(303) 776-0778

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30215
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007735394
AETNA
CO
05
01302157
CO
01
2949706
AETNA HMO
CO
01
4218151
CIGNA
CO
01
5502AMGR007598
BCBS
CO
01
659985
BCBS-FEDERAL
CO
Enumeration date
04/22/2006
Last updated
12/03/2007
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