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General NPI Number Information
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NPI Number | 1669296125
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Entity Type | Organization
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Legal Business Name | KIMBERLY INMAN PMHNP-BC PLLC
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 595 CHAPEL HILLS DR STE 13
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-1060
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Country | US
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Telephone | 719-472-3031
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Fax | 850-202-4748
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Provider Business Mailing Address
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Address Line | 17815 LOVERLY WAY
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City | MONUMENT
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State | CO
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Zip | 80132-2232
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Country | US
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Telephone | 719-728-5772
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY LYNN INMAN
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Credential | PMHNP-BC
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Telephone | 719-728-5772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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