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Individual

DR. KIMBERLY B PENGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10107 RIDGEGATE PKWY STE 310, LONE TREE, CO 80124-5642
(720) 861-0840
(303) 861-4741
Mailing address
10107 RIDGEGATE PKWY STE 310, LONE TREE, CO 80124-5642
(303) 861-2663
(303) 861-4741

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
38251
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1871680926
NE
05
1871680926
WY
05
70680892
CO
Enumeration date
10/09/2006
Last updated
01/19/2022
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