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:
Health care specialties
Specialty | Code | License # | 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 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366400178 | NPPES |
Colorado | MEDICAID | 01354562 |
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