Healthcare Provider Details

I. General information

NPI: 1164195269
Provider Name (Legal Business Name): JULIE KINKLER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2021
Last Update Date: 07/26/2021
Certification Date: 07/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 ANGLERS DR STE 201
STEAMBOAT SPRINGS CO
80487-8841
US

IV. Provider business mailing address

501 ANGLERS DR STE 201
STEAMBOAT SPRINGS CO
80487-8841
US

V. Phone/Fax

Practice location:
  • Phone: 970-871-1323
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberAPN.0996002-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: