Provider Demographics
NPI:1780834440
Name:ALBERT, KIMBERLY SUZANNE (AUD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:SUZANNE
Last Name:ALBERT
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11521 E 161ST AVE
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-7653
Mailing Address - Country:US
Mailing Address - Phone:303-905-3269
Mailing Address - Fax:
Practice Address - Street 1:7850 VANCE DR
Practice Address - Street 2:#225
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-2118
Practice Address - Country:US
Practice Address - Phone:303-431-8881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-30
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO441237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCF8286OtherRAILROAD MEDICARE
CO04008389Medicaid
CO04008389Medicaid