Mcmanaman, Kim K

Mcmanaman, Kim K is an individual health care provider with primary practice located at 110 E Routt Ave , Pueblo CO 81004-2117. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Mcmanaman, Kim K can be contacted via phone (719) 543-8711.

Contact Information

Primary practice address
110 E Routt Ave Pueblo CO 81004-2117
Phone: (719) 543-8711
Fax: (719) 543-5340
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 91080 Colorado

Profile Details

NPI number 1790711331
LBN Legal business name Mcmanaman, Kim K
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Jul 8th, 2007 - 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 1790711331 NPPES
Colorado MEDICAID 57756317

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