Provider Demographics
NPI:1700105475
Name:EDELMAN, KIERSTEN ELIZABETH HEIM (CNIM)
Entity Type:Individual
Prefix:MISS
First Name:KIERSTEN
Middle Name:ELIZABETH HEIM
Last Name:EDELMAN
Suffix:
Gender:F
Credentials:CNIM
Other - Prefix:MISS
Other - First Name:KIERSTEN
Other - Middle Name:ELIZABETH
Other - Last Name:SLAGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNIM
Mailing Address - Street 1:950 E. HARVARD AVE
Mailing Address - Street 2:STE 570
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210
Mailing Address - Country:US
Mailing Address - Phone:303-301-4271
Mailing Address - Fax:303-715-7057
Practice Address - Street 1:950 E. HARVARD AVE
Practice Address - Street 2:STE 570
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210
Practice Address - Country:US
Practice Address - Phone:303-301-4271
Practice Address - Fax:303-715-7057
Is Sole Proprietor?:No
Enumeration Date:2010-05-20
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic