Provider Demographics
NPI:1609153097
Name:FRENCH, KIMBERLY JO (LAC, LMT)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:JO
Last Name:FRENCH
Suffix:
Gender:F
Credentials:LAC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2865 S COLORADO BLVD
Mailing Address - Street 2:SUITE 105 NORTH
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-6610
Mailing Address - Country:US
Mailing Address - Phone:303-782-9111
Mailing Address - Fax:
Practice Address - Street 1:2865 S. COLORADO BLVD.
Practice Address - Street 2:105N
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230
Practice Address - Country:US
Practice Address - Phone:303-782-9111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-14
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO922171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist