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Individual

RICHARD ALLAN KINGSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2231 N 7TH ST, GRAND JUNCTION, CO 81501-7434
(970) 245-3208
(970) 245-3947
Mailing address
2231 N 7TH ST, GRAND JUNCTION, CO 81501-7434
(970) 245-3208
(970) 245-3947

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21930
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01219302
CO
Enumeration date
11/01/2006
Last updated
08/18/2008
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