Individual
KIMBERLY POULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11059 E BETHANY DR, AURORA, CO 80014-2622
(303) 617-2300
Mailing address
12108 E AMHERST CIR, AURORA, CO 80014-3302
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/10/2017
Last updated
07/10/2017
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