Individual
JENNIFER LEE KIMBROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, NREMT
Contact information
Practice address
401 KOKOPELLI BLVD STE 1, FRUITA, CO 81521-3308
(970) 858-2705
Mailing address
402 DRESSELL DR APT A, GRAND JUNCTION, CO 81507-4649
(503) 475-4816
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000020470
CO
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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