TRACI A. KIMBALL MD PC NPI 1326449646

NPI Information

NPI: 1326449646
Provider Name: TRACI A. KIMBALL MD PC

Doing Business As: WOUNDCARE INITIATIVES & SPECIALTY HEALTH

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
4798 S ACOMA ST
ENGLEWOOD, CO
ZIP 80110
Phone: (720) 560-0887
Get Directions

TRACI A. KIMBALL MD PC is a general practice in Englewood, CO. TRACI A. KIMBALL MD PC NPI is 1326449646. The provider is registered as an organization entity type.
The provider Is Doing Business As Woundcare Initiatives & Specialty Health.

The provider's business location address is:

4798 S ACOMA ST
ENGLEWOOD, CO
ZIP 80110-541
Phone: (720) 560-0887

The provider's authorized official is Traci A Kimball .
The authorized official title is Ceo/founder and has the following contact phone number (720) 560-0887.

The enumeration date for this NPI number is 9/5/2014 and was last updated on 3/27/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251J00000X	Nursing Care		No
2	261QM1300X	Clinic/Center	Multi-Specialty	No
3	261QR0400X	Clinic/Center	Rehabilitation	No
4	261QR1100X	Clinic/Center	Research	No
5	332B00000X	Durable Medical Equipment & Medical Supplies		No
6	347C00000X	Private Vehicle		No
7	251E00000X	Home Health		No
8	208D00000X	General Practice		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	41180259	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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