Provider Demographics
NPI:1629113428
Name:KUEHNER, KIMBERLY S (PHD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:S
Last Name:KUEHNER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:KIMBERLY
Other - Middle Name:SUE
Other - Last Name:KUEHNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:640 WILD RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-2583
Mailing Address - Country:US
Mailing Address - Phone:763-458-2491
Mailing Address - Fax:
Practice Address - Street 1:1800 JACKSON ST
Practice Address - Street 2:SENIOR COUNSELING GROUP, LLC
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-2358
Practice Address - Country:US
Practice Address - Phone:303-278-7418
Practice Address - Fax:303-223-9315
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health