NPI 1053838367

Kimberly Colleen Kuppenheimer, PAC

Practitioner Physician Assistant Apo, AA

Practice location

Address: 1650 Cochrane Circle Fort Carson, Evans Army Hospital, Warrior Clinic, Apo, AA 80913-4604
Phone: (719) 526-9277
Mailing address: 1735 Brantfeather Grv, Colorado Springs, CO 80906-6907

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA0005100 (CO)

Other Physician Assistant providers in Armed Forces Americas →

Registry record

NPI: 1053838367
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Aug 2017
Record last updated: 28 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.