Provider Demographics
NPI:1356025217
Name:YOSHINO, KIMBERLY (PHD, MED)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:YOSHINO
Suffix:
Gender:F
Credentials:PHD, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6756 S IVY ST APT A2
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1064
Mailing Address - Country:US
Mailing Address - Phone:702-232-0533
Mailing Address - Fax:
Practice Address - Street 1:950 N LOGAN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3163
Practice Address - Country:US
Practice Address - Phone:038-341-0263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-12
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool