Individual
MRS. CARLY NOEL FRANCES KIBLER BALTARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8006 E ARAPAHOE RD # 100, CENTENNIAL, CO 80112-6814
(303) 220-9168
Mailing address
8006 E ARAPAHOE RD # 100, CENTENNIAL, CO 80112-6814
(303) 220-9168
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0006853
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/27/2019
Last updated
09/22/2022
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