Individual
KIMBERLEY KAY BODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 602-5735
(303) 436-5157
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 602-5735
(303) 436-5157
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.0044625
CO
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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