NPI Profile for KIM H IRVING in BLACK HAWK, CO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Care |
163WP2201X | |||
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Registered Nurse |
163W00000X |
| NPI # | 1508970823 |
|
| Status | Active | |
| Credentials | ANP (Adult Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 08/17/2006 | |
| Last updated | 07/31/2013 - About 13 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KIM H IRVING
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