Individual
KIMBERLEY A REA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4660 YOSEMITE ST STE 100, DENVER, CO 80238-4481
(720) 516-8907
(720) 516-8905
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(706) 242-4229
(970) 490-4155
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
1061543
KY
363L00000X
Nurse Practitioner
Primary
APN.0006039-NP
CO
363LA2200X
Adult Health Nurse Practitioner
4058P
KY
363LA2200X
Adult Health Nurse Practitioner
NP0006039
CO
364SA2200X
Adult Health Clinical Nurse Specialist
0024170292
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00198508
RAILROAD MEDICARE
—
01
—
321797YPNB
MEDICARE PTAN
CO
05
—
78012572
—
KY
01
—
CO304703/CO307663
MEDICARE
CO
Enumeration date
04/19/2006
Last updated
08/05/2024
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