Individual
KIM RENEA DRAUGHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
8649 W 95TH DR, WESTMINSTER, CO 80021-5322
(303) 819-6425
Mailing address
8649 W 95TH DR, WESTMINSTER, CO 80021-5322
(303) 819-6425
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2647
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2647
LICENSE
CO
Enumeration date
09/11/2018
Last updated
09/11/2018
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