Organization
NORTHWIND HOLISTIC PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY SMITH (CREDENTIALING SPECIALIST)
(405) 984-7174
Entity
Organization
Contact information
Practice address
212 WASHINGTON ST STE F, MONUMENT, CO 80132-9173
(320) 500-2024
(320) 244-7958
Mailing address
212 WASHINGTON ST STE F, MONUMENT, CO 80132-9173
(320) 500-2024
(320) 244-7958
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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