Mcclintock, Kevin Leonard

Mcclintock, Kevin Leonard is an individual health care provider with primary practice located at 1207 Pueblo Boulevard Way , Pueblo CO 81005-2175. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Mcclintock, Kevin Leonard can be contacted via phone (195) 420-0327.

Contact Information

Primary practice address
1207 Pueblo Boulevard Way Pueblo CO 81005-2175
Phone: (195) 420-0327
Fax: (719) 542-1413
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35456 Colorado
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X DR.0035456 Colorado
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X DR.0035456 Colorado

Profile Details

NPI number 1366400178
LBN Legal business name Mcclintock, Kevin Leonard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Feb 14th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366400178 NPPES
Colorado MEDICAID 01354562

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