Basic Information
| Provider Information | |||||||||
| NPI: | 1699972026 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HARDEN | ||||||||
| FirstName: | KIMBERLY | ||||||||
| MiddleName: | SUSANNE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 820 | ||||||||
| Address2: | |||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809010820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7194480981 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2313 RED EDGE HTS | ||||||||
| Address2: | |||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809217207 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7194813588 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/29/2007 | ||||||||
| LastUpdateDate: | 09/04/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 2018024912 | MO | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 51386 | KY | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 132-320 | WI | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 15614 | ND | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 63751 | MN | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 295003 | NY | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 04-41696 | KS | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 30796 | NE | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | MD-45201 | IA | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | MD-22329 | ME | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 59147 | TN | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 10914 | SD | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 01080517A | IN | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 4301114902 | MI | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 49748 | CO | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.