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NPI Code Detail

MEDICARE: KIMBERLY SUE BAPPE IV

MEDICARE: KIMBERLY SUE BAPPE IV
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
11041C0700XClinical Social Worker991463CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437272093
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY SUE BAPPE IV
Provider Business Mailing Address
First Line : 1017 KNOBCONE PL
Second Line :
City : LOVELAND
State : CO
Zip : 80538-1945
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1644 S COLLEGE AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-1007
Country : US
Telephone Number : 970-221-0999
Fax Number : 970-221-2727
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2007
Last Update Date : 07/09/2007

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Directions to “ KIMBERLY SUE BAPPE IV ” Practice Location

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