Provider Demographics
NPI:1467691683
Name:RINGENBERG, KINSEY B (PAC)
Entity Type:Individual
Prefix:
First Name:KINSEY
Middle Name:B
Last Name:RINGENBERG
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9035 WADSWORTH PKWY
Mailing Address - Street 2:SUITE 3000
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-8634
Mailing Address - Country:US
Mailing Address - Phone:303-422-7677
Mailing Address - Fax:303-422-6029
Practice Address - Street 1:9035 WADSWORTH PKWY
Practice Address - Street 2:SUITE 3000
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-8634
Practice Address - Country:US
Practice Address - Phone:303-422-7677
Practice Address - Fax:303-422-6029
Is Sole Proprietor?:No
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2604363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical