MEDICARE: JULIE KINKLER NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QA0505X	Adult Medicine Physician	APN.0996002-NP	CO

General Provider Information

NPI Number	:	1164195269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE KINKLER NP

Provider Business Mailing Address
First Line	:	501 ANGLERS DR STE 201
Second Line	:
City	:	STEAMBOAT SPRINGS
State	:	CO
Zip	:	80487-8841
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 ANGLERS DR STE 201
Second Line	:
City	:	STEAMBOAT SPRINGS
State	:	CO
Zip	:	80487-8841
Country	:	US
Telephone Number	:	970-871-1323
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2021
Last Update Date	:	07/26/2021

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