Provider Demographics
NPI:1770713463
Name:NEARPASS, KIMBERLY ANN (ND)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:ANN
Last Name:NEARPASS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4236
Mailing Address - Street 2:507 MAIN STREET, SUITE C
Mailing Address - City:FRISCO
Mailing Address - State:CO
Mailing Address - Zip Code:80443-4236
Mailing Address - Country:US
Mailing Address - Phone:970-668-1300
Mailing Address - Fax:970-668-1301
Practice Address - Street 1:507 MAIN STREET
Practice Address - Street 2:SUITE C
Practice Address - City:FRISCO
Practice Address - State:CO
Practice Address - Zip Code:80443-4236
Practice Address - Country:US
Practice Address - Phone:970-668-1300
Practice Address - Fax:970-668-1301
Is Sole Proprietor?:No
Enumeration Date:2009-07-16
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0000025175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath