Individual
KIMBERLY TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1624 17TH AVE, GREELEY, CO 80631-5129
(970) 353-5959
(970) 353-5967
Mailing address
1624 17TH AVE, GREELEY, CO 80631-5129
(970) 353-5959
(970) 353-5967
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1512
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96483342
—
CO
Enumeration date
07/26/2006
Last updated
03/05/2009
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