Provider Demographics
NPI:1861670846
Name:CULBERTSON, KRISTOPHER JON (MS, CNIM)
Entity Type:Individual
Prefix:
First Name:KRISTOPHER
Middle Name:JON
Last Name:CULBERTSON
Suffix:
Gender:M
Credentials:MS, CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10602 RACINE ST
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-6635
Mailing Address - Country:US
Mailing Address - Phone:303-968-9570
Mailing Address - Fax:303-968-9570
Practice Address - Street 1:10602 RACINE ST
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-6635
Practice Address - Country:US
Practice Address - Phone:303-968-9570
Practice Address - Fax:303-968-9570
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist