Kimball, Traci A.
Kimball, Traci A. is an sole proprietor health care provider with primary practice located at 4045 Wadsworth Blvd Ste 10 , Wheat Ridge CO 80033-4625. She recently has 13 registered licenses in different health care specialties including Other Service Providers / Health Educator, Other Service Providers / Naturopath, Dietary & Nutritional Service Providers / Nutritionist, Other Service Providers / Contractor, Other Service Providers / Legal Medicine, Other Service Providers / Research Study, Other Service Providers / Homeopath, Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, Allopathic & Osteopathic Physicians / Surgery, Technologists, Technicians & Other Technical Service Providers / Vascular Specialist, Suppliers / Durable Medical Equipment & Medical Supplies, Technologists, Technicians & Other Technical Service Providers / Biomedical Engineering, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Kimball, Traci A. can be contacted via phone (303) 940-1611.Contact Information
Primary practice address
4045 Wadsworth Blvd Ste 10
Wheat Ridge CO 80033-4625
Phone: (303) 940-1611
Fax: (303) 432-2296
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Health Educator | 174H00000X | ||
| Other Service Providers / Naturopath | 175F00000X | ||
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | ||
| Other Service Providers / Contractor | 171W00000X | ||
| Other Service Providers / Legal Medicine | 173000000X | ||
| Other Service Providers / Research Study | 1744R1102X | ||
| Other Service Providers / Homeopath | 175L00000X | ||
| Technologists, Technicians & Other Technical Service Providers / Surgical Technologist | 246ZS0410X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | DR49586 | Colorado |
| Technologists, Technicians & Other Technical Service Providers / Vascular Specialist | 246XC2903X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | Colorado | |
| Technologists, Technicians & Other Technical Service Providers / Biomedical Engineering | 246ZB0301X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | DR49586 | Colorado |
Profile Details
| NPI number | 1841337110 |
|---|---|
| LBN Legal business name | Kimball, Traci A. |
| Credentials | MD CWSP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jan 10th, 2024 - about 10 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841337110 | NPPES |
| Colorado | MEDICAID | 98159241 |
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