Provider Demographics
NPI:1558597914
Name:SCHMIDT, KIMBERLY BETH (DC)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:BETH
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 AMES CT
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-6109
Mailing Address - Country:US
Mailing Address - Phone:970-204-1391
Mailing Address - Fax:
Practice Address - Street 1:1901 AMES CT
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-6109
Practice Address - Country:US
Practice Address - Phone:970-204-1391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-29
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3671111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition