Provider Demographics
NPI:1003917246
Name:RIENIETS, KIMBERLY INEZ (DO)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:INEZ
Last Name:RIENIETS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:215 S WADSWORTH BLVD STE 530
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-1566
Mailing Address - Country:US
Mailing Address - Phone:720-447-8837
Mailing Address - Fax:888-531-4959
Practice Address - Street 1:215 S WADSWORTH BLVD STE 530
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-1566
Practice Address - Country:US
Practice Address - Phone:720-447-8837
Practice Address - Fax:888-531-4959
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO44596207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO44596OtherCOLORADO MEDICAL LICENSE
284384OtherABIM ENDOCRINOLOGY BOARD CERTIFICATION