Altitude Foot & Ankle Center

NPI 1104262922 - Podiatrist - 213ES0103X

NPI Details
NPI 1104262922
Enumeration Date 05/20/2013
Last Updated 05/20/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name KIMBERLY LYNN KIMBERLY
Position PODIATRIST
Phone (419) 788-2396
Fax
Practice Location
1138 OLYMPIA AVE
UNIT B
LONGMONT CO, 80504-2382, US
Phone (419) 788-2396
Fax
Business Location
1138 OLYMPIA AVE.
UNIT B
LONGMONT CO, 80504, US
Phone (419) 788-2396
Fax
Toxanomy
Taxonomy Code 213ES0103X
License State Colorado
License Number 673
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According to our database, Altitude Foot & Ankle Center NPI is 1104262922, taxonomy code is 213ES0103X and license number is 673, license state is located at Colorado. Altitude Foot & Ankle Center physically located at 1138 Olympia Ave, Longmont CO, 80504-2382. NPI Number 1033115704 has the healthcare provider type.

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1104262922 NPI number is provided on an as is basis without warranty of any kind. 1104262922 is maintained by the National Plan & Provider Enumeration System. The contents of Altitude Foot & Ankle Center are for informational purposes only.