Individual
MRS. KIM PYOUNGSOON RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1055 CLERMONT ST, DENVER VA MEDICAL CENTER, AMBULARTORY CARE (11B), DENVER, CO 80220-3808
(303) 399-8020
Mailing address
25222 E INDORE DR, AURORA, CO 80016-2188
(303) 699-4885
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
89129
CO
Other
Enumeration date
10/09/2008
Last updated
12/18/2010
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