Kimata, Glenn Tetsuo

Kimata, Glenn Tetsuo is an individual health care provider with primary practice located at 8771 Wolff Ct Suite 115, Westminster CO 80031-6948. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kimata, Glenn Tetsuo can be contacted via phone (303) 650-8005.

Contact Information

Primary practice address
8771 Wolff Ct Suite 115 Westminster CO 80031-6948
Phone: (303) 650-8005
Fax: (303) 412-5891
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 24239 Colorado

Profile Details

NPI number 1134272602
LBN Legal business name Kimata, Glenn Tetsuo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Mar 11th, 2008 - about 17 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 1134272602 NPPES
Other 186554300 OWCP
Other 073386 OWCP
Other 32557 OWCP

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