Healthcare Provider Details

I. General information

NPI: 1205223864
Provider Name (Legal Business Name): KATE ELIZABETH GEISEN NIMOCKS AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2015
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 N HIGH ST STE 110
DENVER CO
80205-5504
US

IV. Provider business mailing address

2055 N HIGH ST STE 110
DENVER CO
80205-5504
US

V. Phone/Fax

Practice location:
  • Phone: 910-295-6831
  • Fax:
Mailing address:
  • Phone: 303-301-9019
  • Fax: 303-861-6254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number0000972
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: