Individual
KIMBERLEE L EVERTSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5257 S WADSWORTH BLVD, LITTLETON, CO 80123-2228
(303) 743-5855
Mailing address
489 ROME AVE, PARKER, CO 80138-4637
(303) 805-1442
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
169365
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016047
KAISER-COMMERCIAL NUMBER
—
Enumeration date
03/07/2007
Last updated
07/08/2007
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