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NPI Code Detail

MEDICARE: MARAIS KIMMEL

MEDICARE: MARAIS KIMMEL
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
1363LF0000XFamily Nurse PractitionerAPN.1001264-NPCO

General Provider Information

NPI Number : 1265393326
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARAIS KIMMEL
Provider Business Mailing Address
First Line : 1735 S PUBLIC RD
Second Line :
City : LAFAYETTE
State : CO
Zip : 80026-7093
Country : US
Telephone Number : 303-665-3036
Fax Number :
Provider Business Practice Location Address
First Line : 1735 S PUBLIC RD STE 100
Second Line :
City : LAFAYETTE
State : CO
Zip : 80026-7093
Country : US
Telephone Number : 303-650-4460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2025
Last Update Date : 12/17/2025

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Directions to “ MARAIS KIMMEL ” Practice Location

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