Organization
WHOLE FAMILY HEALTH CARE OF LONGMONT
Active
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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