Individual
LYNN JANET KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.N.P.
Contact information
Practice address
4745 ARAPAHOE AVE, SUITE 310, BOULDER, CO 80303-1080
(303) 442-2913
Mailing address
25 BRISTLECONE WAY, BOULDER, CO 80304-0412
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
59118
CO
363LP0200X
Pediatric Nurse Practitioner
Primary
59118
CO
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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