Provider Demographics
NPI:1679645998
Name:SCHURMAN, KIM ALEXANDRA (MD)
Entity Type:Individual
Prefix:DR
First Name:KIM
Middle Name:ALEXANDRA
Last Name:SCHURMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2100 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205
Mailing Address - Country:US
Mailing Address - Phone:303-312-9579
Mailing Address - Fax:303-293-6511
Practice Address - Street 1:4770 E ILIFF AVE
Practice Address - Street 2:222
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-6061
Practice Address - Country:US
Practice Address - Phone:303-759-1828
Practice Address - Fax:303-757-7994
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO267092084P0800X
CAG688702084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1267095Medicaid