Individual
KIM BINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC.
Contact information
Practice address
6761 W YALE AVE, LAKEWOOD, CO 80227-4075
(720) 272-4064
Mailing address
6761 W YALE AVE, LAKEWOOD, CO 80227-4075
(720) 272-4064
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
724
CO
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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