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:
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Health care specialties

SpecialtyCodeLicense #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 3 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 1598737975 NPPES
Colorado MEDICAID 61624349
Colorado Other P00944762

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