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General NPI Number Information
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NPI Number | 1407333446
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Entity Type | Individual
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Provider Name | KIMBERLY ANN ROBERTSON AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/23/2018
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 5770 FLINTRIDGE DR STE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-1870
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Country | US
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Telephone | 719-445-9902
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Fax | 719-387-0312
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Provider Business Mailing Address
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Address Line | 5770 FLINTRIDGE DR STE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-1870
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Country | US
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Telephone | 719-445-9902
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Fax | 719-387-0312
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 71012049A
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License Number State | IN
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