Healthcare Provider Details

I. General information

NPI: 1265533814
Provider Name (Legal Business Name): KIMBERLY E. WINTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 11/18/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8199 SOUTHPARK LN STE 100
LITTLETON CO
80120-5665
US

IV. Provider business mailing address

PO BOX 35380
LAS VEGAS NV
89133-5380
US

V. Phone/Fax

Practice location:
  • Phone: 303-730-3332
  • Fax:
Mailing address:
  • Phone: 303-763-4900
  • Fax: 303-763-5495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number42810
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number42810
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: