Provider Demographics
NPI:1144504168
Name:KLUENDER, KALA (RN, MSN, CNM)
Entity type:Individual
Prefix:
First Name:KALA
Middle Name:
Last Name:KLUENDER
Suffix:
Gender:F
Credentials:RN, MSN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1934 18TH ST
Mailing Address - Street 2:#23
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-5548
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4800 RIVERBEND RD
Practice Address - Street 2:SUITE 150
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-2636
Practice Address - Country:US
Practice Address - Phone:303-443-2229
Practice Address - Fax:720-317-2312
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN-198428163W00000X
COCNM-170018176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No163W00000XNursing Service ProvidersRegistered Nurse