Kingfisher Foundation, Inc.

NPI #1053633529 in Mead, Colorado

Provider Information

NPI Number
1053633529
Entity Type
Organization
Organization Name
Kingfisher Foundation, Inc.
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Feb 24, 2010
Last Updated
May 4, 2011

Practice Location

Address
209 MAIN STREET
Address 2
UNIT B
City
Mead
ZIP Code
80542
Phone
(303) 495-2166

Authorized Official

Name
MS. ROD DAWN GRABER
Title
ADMINISTRATOR
Phone
(303) 495-2166

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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