Individual
KIMBERLY J MINER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ND, CNS, CWCN
Contact information
Practice address
888 W ITHACA AVE, ENGLEWOOD, CO 80110-3468
(303) 789-2777
(303) 789-2556
Mailing address
7399 S SYRACUSE CT, CENTENNIAL, CO 80112-1749
(303) 789-2777
(303) 789-2556
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
1040
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63422549
—
CO
Enumeration date
01/23/2006
Last updated
07/08/2007
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