Siegel, Kimberly Lynne
Siegel, Kimberly Lynne is an individual health care provider with primary practice located at 4674 Snow Mesa Dr Suite 200, Fort Collins CO 80528-8615. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is her primary health care specialty. Siegel, Kimberly Lynne can be contacted via phone (970) 495-8450.Contact Information
Primary practice address
4674 Snow Mesa Dr Suite 200
Fort Collins CO 80528-8615
Phone: (970) 495-8450
Fax: (970) 297-6599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | A84994 | California |
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | 12556 | Montana |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | DR.0055719 | Colorado |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | DR.0055719 | Colorado |
Profile Details
| NPI number | 1265591895 |
|---|---|
| LBN Legal business name | Siegel, Kimberly Lynne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2006 |
| Last updated | May 18th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265591895 | NPPES |
| Colorado | MEDICAID | 26780071 | |
| Colorado | MEDICAID | 00A849940 | |
| Colorado | Other | C423870 |
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