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Individual

KIMBERLY RANDALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
7707 FOREST VALLEY LOOP, COLORADO SPRINGS, CO 80908-5649
(719) 639-8396
Mailing address
1441 RED MICA WAY, MONUMENT, CO 80132-7437
(719) 639-8396

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0186699
CO

Other

Enumeration date
11/29/2020
Last updated
04/23/2025
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