Kevin Douglas
Kevin Douglas is a Specialist in Pueblo, Colorado. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1012 W Abriendo AvePueblo, CO 81004-1128
Phone: (719) 545-2746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1902407182 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 4, 2020 |
| Last updated in NPPES | November 4, 2020 |
| Certification date | November 4, 2020 |
| Mailing address | 41 Montebello Rd Ste 204, Pueblo, CO 81001-1379 |
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