Kimberley A Rea in Glendale - General Practice

Kimberley A Rea - NPI 1366407785

Kimberley A Rea is a General Practice in Glendale, Colorado. Kimberley A Rea practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kimberley A Rea is 1366407785. The last update date is 2015-05-13.

Kimberley A Rea's current location address is 670 S Dahlia Cir Apt R-207, Glendale, Colorado. You can contact this provider via phone number 3035019401 and fax number 3033006685. The mailing address for Kimberley A Rea is 670 S Dahlia Cir Apt R-207, Glendale, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Kimberley A Rea
Address 670 S Dahlia Cir Apt R-207, Glendale, Colorado
Phone Number 3035019401
Fax Number 3033006685
Sole Proprietor N
Credentials ARNP

NPI Number Detail

NPI Number 1366407785
Provider Enumeration Date 2006-04-19
Last Updated Date 2015-05-13

Provider Mailing Address Detail

Address 670 S Dahlia Cir Apt R-207
City Glendale
State Colorado (CO)
Post Code 802463303
Phone Number 3035019401
Fax Number 3033006685

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 163Wg0000X
Licence No 1061543
Definition:
A registered nurse who provides general nursing care across health settings.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
321797YPNB CO MEDICARE PTAN
CO304703/CO3076 CO MEDICARE
78012572 KY --
198508 RAILROAD MEDICARE

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FAQs about Kimberley A Rea

What is the unique 10-digit identification code issued to Kimberley A Rea by the Centers for Medicare & Medicaid Services?

The Kimberley A Rea has been assigned the NPI (National Provider Identifier) 1366407785 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Kimberley A Rea is located?

The Kimberley A Rea is situated at the following address: 670 S Dahlia Cir Apt R-207, Glendale, CO, 802463303.

What is Kimberley A Rea's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kimberley A Rea's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 163Wg0000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1366407785 to Kimberley A Rea?

The Centers for Medicare & Medicaid Services originally issued the 1366407785 to Kimberley A Rea on 2006-04-19.

As of what date was the information regarding Kimberley A Rea, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kimberley A Rea, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-05-13.

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