Organization
WHOLE FAMILY HEALTH CARE OF LONGMONT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIN VAN KONYNENBURG M.D. (BUSINESS OWNER)
(303) 776-0467
Entity
Organization
Contact information
Practice address
600 S AIRPORT RD, BUILDING A, SUITE G, LONGMONT, CO 80503-6424
(303) 776-0467
(303) 776-0467
Mailing address
1067 S HOVER ST STE E, PMB 189, LONGMONT, CO 80501-7903
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
42439
CO
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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