Individual
TRACI A. KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD CWSP
Contact information
Practice address
10050 RALSTON RD UNIT 3, ARVADA, CO 80004-4974
(303) 940-1611
(303) 432-2296
Mailing address
10050 RALSTON RD UNIT 3, ARVADA, CO 80004-4974
(303) 940-1611
(303) 432-2296
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
171400000X
Health & Wellness Coach
—
—
171W00000X
Contractor
—
—
173000000X
Legal Medicine
—
—
1744R1102X
Research Study Specialist
—
—
174H00000X
Health Educator
—
—
175F00000X
Naturopath
—
—
175L00000X
Homeopath
—
—
208600000X
Surgery Physician
Primary
DR49586
CO
208D00000X
General Practice Physician
DR49586
CO
246XC2903X
Vascular Specialist/Technologist Cardiovascular
—
—
246ZB0301X
Biomedical Engineer
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98159241
—
CO
Enumeration date
01/30/2007
Last updated
04/05/2025
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