The Wish Clinic

LBN: Traci A. Kimball Md Pc
The Wish Clinic is an health care organization with primary practice located at 10050 Ralston Rd Unit 3 , Arvada CO 80004-4974. The organization recently has 13 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Dietary & Nutritional Service Providers / Nutrition, Education, Nursing Service Providers / Case Management, Nursing Service Providers / Infusion Therapy, Nursing Service Providers / Wound Care, Nursing Service Providers / Licensed Practical Nurse, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Research, Suppliers / Durable Medical Equipment & Medical Supplies. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Traci A. Kimball Md Pc can be contacted via phone (720) 577-4584, or through Kimball, Traci A. via phone (720) 557-6510.

Contact Information

Primary practice address
10050 Ralston Rd Unit 3 Arvada CO 80004-4974
Phone: (720) 577-4584
Fax: (720) 577-4587
Website:
Map and Directions
Authorized official contact:
Name: Kimball, Traci A. Doctor of Medicine (MD)
Phone: (720) 557-6510

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Nursing Service Providers / Case Management 163WC0400X
Nursing Service Providers / Infusion Therapy 163WI0500X
Nursing Service Providers / Wound Care 163WW0000X
Nursing Service Providers / Licensed Practical Nurse 164W00000X
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Research 261QR1100X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1326449646
LBN Legal business name Traci A. Kimball Md Pc
DBA Doing business as The Wish Clinic
Authorized official Kimball, Traci A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2014
Last updated Feb 19th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326449646 NPPES
Colorado MEDICAID 41180259

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