Healthcare Provider Details

I. General information

NPI: 1386893675
Provider Name (Legal Business Name): KIMBERLY ANN CUNNINGHAM NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2008
Last Update Date: 07/12/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

695 S COLORADO BLVD STE 160
DENVER CO
80246-8090
US

IV. Provider business mailing address

695 S COLORADO BLVD STE 160
DENVER CO
80246-8090
US

V. Phone/Fax

Practice location:
  • Phone: 720-650-4660
  • Fax: 720-378-4698
Mailing address:
  • Phone: 720-650-4660
  • Fax: 720-378-4698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number168911
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: