Provider Demographics
NPI:1003917246
Name:RIENIETS, KIMBERLY INEZ (DO)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:INEZ
Last Name:RIENIETS
Suffix:
Gender:F
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:PO BOX 130
Mailing Address - Street 2:
Mailing Address - City:FRUITA
Mailing Address - State:CO
Mailing Address - Zip Code:81521-0130
Mailing Address - Country:US
Mailing Address - Phone:970-858-2211
Mailing Address - Fax:970-858-2208
Practice Address - Street 1:281 N PLUM ST
Practice Address - Street 2:
Practice Address - City:FRUITA
Practice Address - State:CO
Practice Address - Zip Code:81521-2100
Practice Address - Country:US
Practice Address - Phone:970-200-1899
Practice Address - Fax:844-459-2205
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2025-10-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO44596207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO44596OtherCOLORADO MEDICAL LICENSE
284384OtherABIM ENDOCRINOLOGY BOARD CERTIFICATION