| Kimberly L Miller, Llc | |
|
100 Arapahoe Ave Ste 7 Boulder CO 80302-5862 | |
| (303) 818-0731 | |
| Not Available |
| Full Name | Kimberly L Miller, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 100 Arapahoe Ave Ste 7, Boulder, Colorado |
| Authorized Official Name and Position | Kimberly L Miller (OWNER) |
| Authorized Official Contact | 3038180731 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly L Miller, Llc 3318 34th St Boulder CO 80301-1908 Ph: (303) 818-0731 | Kimberly L Miller, Llc 100 Arapahoe Ave Ste 7 Boulder CO 80302-5862 Ph: (303) 818-0731 |
| NPI Number | 1659806537 |
|---|---|
| Provider Enumeration Date | 04/27/2017 |
| Last Update Date | 04/27/2017 |
| Medicare PECOS PAC ID | 9931468972 |
|---|---|
| Medicare Enrollment ID | O20180119000191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659806537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 992891 (Colorado) | Primary |
| Provider Name | Kim Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295073047 PECOS PAC ID: 7810133709 Enrollment ID: I20130419000286 |
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