Individual
KATURA KIMBERLEY SALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
10595 HIGHWAY 119, BLACK HAWK, CO 80422-8835
(303) 582-3444
Mailing address
514 COYOTE CIR, BLACK HAWK, CO 80422-8712
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0001720
CO
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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