Spence, Kimball John
Spence, Kimball John is an individual health care provider with primary practice located at 1340 Hwy 133 , Carbondale CO 81623-1933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Spence, Kimball John can be contacted via phone (970) 963-3350.Contact Information
Primary practice address
1340 Hwy 133
Carbondale CO 81623-1933
Phone: (970) 963-3350
Fax: (970) 963-2958
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 31471 | Colorado |
Profile Details
| NPI number | 1295801835 |
|---|---|
| LBN Legal business name | Spence, Kimball John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1295801835 | NPPES |
| Colorado | MEDICAID | 01314715 |
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