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Organization

KAISER PERMANENTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MIA SHEEN SIMON LPN (LICENSED PRACTICAL NURSE)
(303) 748-9034
Entity
Organization

Contact information

Practice address
10065 E HARVARD AVE STE 400, DENVER, CO 80231-5943
(303) 614-1493
Mailing address
10816 BAYFIELD WAY, PARKER, CO 80138-3808
(303) 748-9034

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
32620
CO

Other

Enumeration date
07/31/2008
Last updated
07/31/2008
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