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Individual

JILL MICHAELA KINGSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
501 AIRPORT RD, RIFLE, CO 81650-8510
(970) 625-6496
Mailing address
501 AIRPORT RD, RIFLE, CO 81650-8510
(970) 625-6496

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
44515
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43600263
CO
01
44515
COLORADO MEDICAL LICENSE
CO
Enumeration date
06/16/2006
Last updated
07/21/2022
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