Individual
DR. KIMBERLEY STASIA SISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8199 E 1ST AVE, DENVER, CO 80230-7163
(866) 488-1863
Mailing address
10298 E 57TH AVE, DENVER, CO 80238-4159
(347) 749-0199
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
C174033
CA
2084P0800X
Psychiatry Physician
Primary
DR.0062040
CO
2084P0804X
Child & Adolescent Psychiatry Physician
C174033
CA
2084P0804X
Child & Adolescent Psychiatry Physician
DR.0062040
CO
Other
Enumeration date
08/30/2011
Last updated
05/04/2024
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