Detwiler, Kimberly R
Detwiler, Kimberly R is an individual health care provider with primary practice located at 2150 Stadium Drive , Boulder CO 80309-7059. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Detwiler, Kimberly R can be contacted via phone (512) 230-6171.Contact Information
Primary practice address
2150 Stadium Drive
Boulder CO 80309-7059
Phone: (512) 230-6171
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT.0001754 | Colorado |
Profile Details
| NPI number | 1265496194 |
|---|---|
| LBN Legal business name | Detwiler, Kimberly R |
| Credentials | MS, LAT, ATC, CSCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Apr 9th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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