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Individual

MR. G EDWARD KIMM JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1960 OGDEN ST STE 400, DENVER, CO 80218-3670
(303) 318-1540
(303) 318-3825
Mailing address
500 ELDORADO BLVD # 6250, BROOMFIELD, CO 80021-3408
(303) 272-0751
(303) 318-2488

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
31626
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01316264
CO
Enumeration date
05/08/2006
Last updated
01/03/2013
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