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Contact Information

KIM H IRVING, ANP
562 GREGORY STREET
BLACK HAWK, CO80422
 Phone: 303-582-5276
 Fax: 303-582-1003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Care

163WP2201X
 

Primary Care

363LP2300X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for KIM H IRVING · (Female)

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
  • CO License # 0001288
  • CO License # 52786
  • CO License # RXN 97-125
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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