Racine, Kimberly
Racine, Kimberly is an individual health care provider with primary practice located at 3850 N Grant Ave Ste 200 , Loveland CO 80538-8431. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Racine, Kimberly can be contacted via phone (970) 624-5170.Contact Information
Primary practice address
3850 N Grant Ave Ste 200
Loveland CO 80538-8431
Phone: (970) 624-5170
Fax: (970) 669-7521
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1481 | Colorado |
Profile Details
NPI number | 1598737975 |
---|---|
LBN Legal business name | Racine, Kimberly |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 1st, 2006 |
Last updated | Oct 8th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598737975 | NPPES |
Colorado | MEDICAID | 61624349 | |
Colorado | Other | P00944762 |
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