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Contact Information

KIMBERLY M WASSENAAR, RT(R), RPA/RA
2821 WILLOW TREE LN
UNIT D
FORT COLLINS, CO80525-4785
 Phone: 970-420-1679
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiologic Technologist

247100000X
Indicates primary specialty

NPI Profile & details for KIMBERLY M WASSENAAR · (Female)

NPI # 1932399714
Status Active
Credentials RT(R), RPA/RA
Entity Individual
Enumeration date 07/27/2007
Last updated 07/27/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 326783/07CO 1317
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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