Healthcare Provider Details

I. General information

NPI: 1205744661
Provider Name (Legal Business Name): KRISTA SIMMONS KING BSN, RN, CWOCN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3939 W CHENANGO AVE
DENVER CO
80123-1678
US

IV. Provider business mailing address

3939 W CHENANGO AVE
DENVER CO
80123-1678
US

V. Phone/Fax

Practice location:
  • Phone: 720-318-7200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number1620368
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: