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NPI Code Detail

MEDICARE: MS. KIMBERLY SHURTLEFF HARTMAN L.C.S.W.

MEDICARE:  MS. KIMBERLY SHURTLEFF HARTMAN  L.C.S.W.
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
11041C0700XClinical Social Worker991629CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1991629OTHERCOLICENSE

General Provider Information

NPI Number : 1669450771
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KIMBERLY SHURTLEFF HARTMAN L.C.S.W.
Provider Business Mailing Address
First Line : PO BOX 50875
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80949-0875
Country : US
Telephone Number : 719-465-9357
Fax Number :
Provider Business Practice Location Address
First Line : 11175 HARDY RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80908-1550
Country : US
Telephone Number : 719-465-9357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2006
Last Update Date : 12/24/2020

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Directions to “ MS. KIMBERLY SHURTLEFF HARTMAN L.C.S.W.” Practice Location

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