Provider Demographics
NPI:1851447452
Name:CONGER, KIMBER-LYNNE (MD)
Entity Type:Individual
Prefix:
First Name:KIMBER-LYNNE
Middle Name:
Last Name:CONGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4141 E DICKENSON PL
Mailing Address - Street 2:WELLSHIRE BEHAVIORAL SERVICES
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-6012
Mailing Address - Country:US
Mailing Address - Phone:303-504-6565
Mailing Address - Fax:303-321-1040
Practice Address - Street 1:4141 E DICKENSON PL
Practice Address - Street 2:WELLSHIRE BEHAVIORAL SERVICES
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-6012
Practice Address - Country:US
Practice Address - Phone:303-504-6565
Practice Address - Fax:303-321-1040
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO481092084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry