Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Traci A. Kimball, MDCWSP

Individual provider Nutritionist · NPI 1841337110

Traci A. Kimball, MDCWSP is a General Surgery in Arvada, Colorado. Graduated from University of Texas Medical School at San Antonio in 2004, 22 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
22
Trained at
University of Texas Medical School at San Antonio
Licensed in
CO
In the registry since
2007
Specialties on file
13

Practice location Address checks out

10050 Ralston Rd Unit 3
Arvada, CO 80004-4974
Phone: (303) 940-1611
Fax: (303) 432-2296
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4798 S Acoma St, Englewood, CO 80110-6541 — (303) 940-1611

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence DR49586 (CO)
Nutritionist Taxonomy 133N00000X
Health & Wellness Coach Taxonomy 171400000X
Contractor Taxonomy 171W00000X
Legal Medicine Taxonomy 173000000X
Research Study Specialist Taxonomy 1744R1102X
Health Educator Taxonomy 174H00000X
Naturopath Taxonomy 175F00000X
Homeopath Taxonomy 175L00000X
General Practice Physician Taxonomy 208D00000X · Licence DR49586 (CO)
Vascular Specialist/Technologist Cardiovascular Taxonomy 246XC2903X
Biomedical Engineer Taxonomy 246ZB0301X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X (CO)

Record details

NPI number1841337110
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDCWSP
Sole proprietorYes
NPI enumeratedJanuary 30, 2007
Last updated in NPPESApril 5, 2025
Certification dateApril 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Also practisesUNDERSEA AND HYPERBARIC MEDICINE, VASCULAR SURGERY
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Arvada