Individual
MRS. KIMBERLY MARIE PICCHIETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4567 E 9TH AVE, PAVILION II, DENVER, CO 80220-3908
(303) 320-7200
(303) 320-2145
Mailing address
4567 E 9TH AVE, PAVILION II, DENVER, CO 80220-3908
(303) 320-7200
(303) 320-2145
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA-2276
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13703064
—
CO
Enumeration date
09/01/2006
Last updated
09/14/2022
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