Individual
NICOLE DAWN KINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1017 W 7TH ST, WRAY, CO 80758-1420
(970) 332-4811
Mailing address
1008 CACTUS CT, WRAY, CO 80758-2036
(785) 332-5045
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
C-ANP.0102967-C-NP
CO
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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