Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 4150 | CO |
N | 363LW0102X | Nurse Practitioner - Women's Health | RN 124319 | CO |
NPI | 1295789543 |
---|---|
Provider Name | Kimberly Wind |
First Address | Englewood, CO 80113-3781 |
Second Address | Englewood, CO 80113-3781 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2006 |
Last Update Date | 08/10/2018 |