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NPI Code Detail

MEDICARE: KIMEL PSYCHOLOGICAL SERVICES, LLC

MEDICARE: KIMEL PSYCHOLOGICAL SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist3417CO

General Provider Information

NPI Number : 1396142584
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIMEL PSYCHOLOGICAL SERVICES, LLC
Provider Business Mailing Address
First Line : 2170 S PARKER RD STE 290
Second Line :
City : DENVER
State : CO
Zip : 80231-5748
Country : US
Telephone Number : 303-910-7664
Fax Number : 303-369-1777
Provider Business Practice Location Address
First Line : 2170 S PARKER RD STE 290
Second Line :
City : DENVER
State : CO
Zip : 80231-5748
Country : US
Telephone Number : 303-369-1777
Fax Number : 303-369-1777
Authorized Official
Title or Position : CLINICAL PSYCHOLOGIST
Name : DR. LILA K KIMEL
Credential : PH.D.
Telephone Number : 303-369-1777
Provider Enumeration Date : 12/03/2014
Last Update Date : 01/13/2025

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