| Doctor Name: | MRS. KIMBERLY MARIE FARBER |
| NPI Number: | 1346314770 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 115260 |
| Business Practice Address: | 18240 E 104th Ave Unit 205 Commerce City, CO - 800220660 |
| Business Phone Number: | 3032860027 |
| Business Fax Number: | 3032860256 |
| Mailing Address: | 18240 East 104th Ave Suite 205, COMMERCE CITY |
| State: | CO |
| Postal Code: | 80022 |
| Phone Number: | 3032860027 |
| Fax Number: | 3032860256 |
| NPI Enumeration Date: | 11/18/2006 |
| NPI Last Update Date: | 10/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 115260 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |