Provider Demographics
NPI:1255433488
Name:KUHLKE, KIM LEE (DDS MS)
Entity type:Individual
Prefix:DR
First Name:KIM
Middle Name:LEE
Last Name:KUHLKE
Suffix:
Gender:M
Credentials:DDS MS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3601 S CLARKSON ST
Mailing Address - Street 2:#400
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113
Mailing Address - Country:US
Mailing Address - Phone:303-789-2020
Mailing Address - Fax:303-789-4640
Practice Address - Street 1:3601 S CLARKSON ST
Practice Address - Street 2:#400
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113
Practice Address - Country:US
Practice Address - Phone:303-789-2020
Practice Address - Fax:303-789-4640
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COCO00838122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist