Individual
KEVIN J ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 861-3460
Mailing address
27163 E ONTARIO PLACE, AURORA, CO 80016-3117
(303) 680-1614
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
103316
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006106
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/16/2007
Last updated
07/08/2007
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