Individual
DR. KIMBERLY VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
RUSTLING WILLOW ST. COMPLEX D, TOWAOC, CO 81334-0000
(970) 565-4441
(970) 565-9163
Mailing address
PO BOX 49, TOWAOC, CO 81334-0049
(970) 565-4441
(970) 565-9110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2003-0562
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61957844
—
CO
Enumeration date
06/06/2006
Last updated
10/06/2011
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