Flake, Kimberly Nichole

Flake, Kimberly Nichole is an individual health care provider with primary practice located at 6507 S Santa Fe Dr , Littleton CO 80120-2910. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Flake, Kimberly Nichole can be contacted via phone (303) 730-8858.

Contact Information

Primary practice address
6507 S Santa Fe Dr Littleton CO 80120-2910
Phone: (303) 730-8858
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R868155 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 16683 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0000864 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN.0998307-NP Colorado

Profile Details

NPI number 1669733838
LBN Legal business name Flake, Kimberly Nichole
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2012
Last updated Oct 18th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669733838 NPPES
Mississippi Other R868155 LICENSE
Mississippi Other 16683 LICENSE
Mississippi MEDICAID 1529089 LICENSE

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