Provider Demographics
NPI:1326266057
Name:ADAMS, KIMBERLI DAWN (BS, NCTMB)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLI
Middle Name:DAWN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:BS, NCTMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7729 XAVIER CT
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80030-4663
Mailing Address - Country:US
Mailing Address - Phone:720-937-6887
Mailing Address - Fax:
Practice Address - Street 1:7729 XAVIER CT
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80030-4663
Practice Address - Country:US
Practice Address - Phone:720-937-6887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist