Healthcare Provider Details

I. General information

NPI: 1780834440
Provider Name (Legal Business Name): KIMBERLY SUZANNE ALBERT AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2008
Last Update Date: 11/29/2023
Certification Date: 11/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7850 VANCE DR #225
ARVADA CO
80003-2118
US

IV. Provider business mailing address

11521 E 161ST AVE
BRIGHTON CO
80602-7653
US

V. Phone/Fax

Practice location:
  • Phone: 303-431-8881
  • Fax:
Mailing address:
  • Phone: 303-905-3269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number441
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: