Healthcare Provider Details

I. General information

NPI: 1588443279
Provider Name (Legal Business Name): KIMBERLY KAY ZIER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2023
Last Update Date: 09/27/2023
Certification Date: 09/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13111 E BRIARWOOD AVE STE 215
CENTENNIAL CO
80112-3846
US

IV. Provider business mailing address

3470 HAWTHORNE DR
HIGHLANDS RANCH CO
80126-7807
US

V. Phone/Fax

Practice location:
  • Phone: 303-680-9150
  • Fax:
Mailing address:
  • Phone: 303-478-6037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number999157
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: