Rea, Kimberley A

Rea, Kimberley A is an individual health care provider with primary practice located at 760 S Colorado Blvd Unit A , Denver CO 80246-1900. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Rea, Kimberley A can be contacted via phone (303) 501-9401.

Contact Information

Primary practice address
760 S Colorado Blvd Unit A Denver CO 80246-1900
Phone: (303) 501-9401
Fax: (303) 300-6685
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 1061543 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4058P Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 0024170292 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NP0006039 Colorado

Profile Details

NPI number 1366407785
LBN Legal business name Rea, Kimberley A
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated May 13th, 2015 - about 9 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 1366407785 NPPES
Colorado Other 321797YPNB MEDICARE PTAN
Colorado Other CO304703/CO307663 MEDICARE PTAN
Colorado MEDICAID 78012572 MEDICARE PTAN
Colorado Other 00198508 MEDICARE PTAN

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