Provider Demographics
NPI:1003917246
Name:RIENIETS, KIMBERLY INEZ (DO)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:INEZ
Last Name:RIENIETS
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:6590 W 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80214-1925
Mailing Address - Country:US
Mailing Address - Phone:720-330-9760
Mailing Address - Fax:888-531-4959
Practice Address - Street 1:281 N PLUM ST
Practice Address - Street 2:
Practice Address - City:FRUITA
Practice Address - State:CO
Practice Address - Zip Code:81521-2100
Practice Address - Country:US
Practice Address - Phone:970-200-1899
Practice Address - Fax:888-531-4959
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2025-07-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO44596207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO44596OtherCOLORADO MEDICAL LICENSE
284384OtherABIM ENDOCRINOLOGY BOARD CERTIFICATION