Individual
KIMBERLY ANN WINGATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
22339 E LAKE AVE, CENTENNIAL, CO 80015-4578
(720) 937-1187
Mailing address
22339 E LAKE AVE, CENTENNIAL, CO 80015-4578
(720) 937-1187
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
29366
CO
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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