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Kimball John Spence, DO

Family Medicine in Carbondale, CO. Individual provider (NPI-1).

NPI number1295801835
StatusActive
Last updated in NPPESMar 7, 2023

Details

NPI
1295801835
Entity type
Individual (NPI-1)
Name
Kimball John Spence
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Nov 27, 2006
Last updated
Mar 7, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - FAMILY PRACTICE
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine31471COYes

Practice location

1340 Hwy 133
Carbondale, CO 81623-1933

Phone 970-963-3350 · Fax 970-963-2958

Mailing address

1340 Hwy 133
Carbondale, CO 81623-1933

Phone 970-963-3350 · Fax 970-963-2958

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Carbondale, CO

All 14 Family Medicine Physician providers in Carbondale · All 238 providers in Carbondale

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