Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | APN.0996002-NP | CO |
NPI | 1164195269 |
---|---|
Provider Name | Julie Kinkler |
First Address | Steamboat Springs, CO 80487-8841 |
Second Address | Steamboat Springs, CO 80487-8841 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2021 |
Last Update Date | 26/07/2021 |