Organization
KIMBALL GENETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNETTE K TAYLOR M.S., PH.D. (PRESIDENT AND CEO)
(303) 320-1807
Entity
Organization
Contact information
Practice address
650 S CHERRY ST, SUITE 225, DENVER, CO 80246-1801
(303) 320-1807
(303) 388-9220
Mailing address
650 S CHERRY ST, SUITE 225, DENVER, CO 80246-1801
(303) 320-1807
(303) 388-9220
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00070977
—
NM
05
—
009919290
—
AL
05
—
030939700
—
FL
05
—
08002362
—
CO
05
—
101429170 0001
—
PA
05
—
1111361 00
—
WY
05
—
731970238A
—
GA
05
—
805613400
—
ID
Enumeration date
03/19/2007
Last updated
10/24/2008
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