Doctor Name: | NOREEN KISHIMOTO |
NPI Number: | 1215064233 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 11683 |
Business Practice Address: | 16601 E Centretech Pkwy Aurora, CO - 800119045 |
Business Phone Number: | 3033447011 |
Business Fax Number: | |
Mailing Address: | 4931 S Elkhart Ct, AURORA |
State: | CO |
Postal Code: | 800152243 |
Phone Number: | 3034008183 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 11683 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |