Ottolenghi, Kimberly Sue

Ottolenghi, Kimberly Sue is an individual health care provider with primary practice located at 2001 S Shields Bldg G, Ft. Collins CO 80526. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ottolenghi, Kimberly Sue can be contacted via phone (970) 484-4871.

Contact Information

Primary practice address
2001 S Shields Bldg G Ft. Collins CO 80526
Phone: (970) 484-4871
Fax: (970) 482-4927
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2899 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 107622 Colorado

Profile Details

NPI number 1720086200
LBN Legal business name Ottolenghi, Kimberly Sue
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jun 11th, 2010 - about 14 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 1720086200 NPPES
Colorado MEDICAID 77129849

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