Individual
THERESA KISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10065 E. HARVARD AVE., STE 400, DENVER, CO 80231
(303) 614-1400
Mailing address
136 E. 11TH AVE., BROOMFIELD, CO 80020
(303) 579-1862
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
81322
CO
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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