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NPI Code Detail

MEDICARE: LILA KIMEL PHD

MEDICARE: LILA KIMEL PHD
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
1103TC0700XClinical Psychologist3417CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609195577
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILA KIMEL PHD
Provider Business Mailing Address
First Line : 2170 S PARKER RD STE 290
Second Line :
City : DENVER
State : CO
Zip : 80231-5748
Country : US
Telephone Number : 303-369-1777
Fax Number : 303-825-2170
Provider Business Practice Location Address
First Line : 2170 S PARKER RD STE 290
Second Line :
City : DENVER
State : CO
Zip : 80231-5748
Country : US
Telephone Number : 720-269-1777
Fax Number : 303-825-2170
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2010
Last Update Date : 05/19/2023

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Directions to “ LILA KIMEL PHD” Practice Location

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