| Kc Medical Pc | |
|
4386 Trail Boss Dr Castle Rock CO 80104-7512 | |
| (303) 688-8666 | |
| (303) 688-8260 |
| Full Name | Kc Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 4386 Trail Boss Dr, Castle Rock, Colorado |
| Authorized Official Name and Position | Doris A Kleinert (OWNER) |
| Authorized Official Contact | 3036888666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kc Medical Pc 4386 Trail Boss Dr Suite A Castle Rock CO 80104-7512 Ph: (303) 688-8666 | Kc Medical Pc 4386 Trail Boss Dr Castle Rock CO 80104-7512 Ph: (303) 688-8666 |
| NPI Number | 1578594727 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 01/24/2011 |
| Medicare PECOS PAC ID | 5597781666 |
|---|---|
| Medicare Enrollment ID | O20051018000742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578594727 | NPI | - | NPPES |
| 44931841 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Doris A Kleinert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861474751 PECOS PAC ID: 2365436946 Enrollment ID: I20040414001520 |
| Provider Name | John Thomas Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053373415 PECOS PAC ID: 6901873165 Enrollment ID: I20040916000102 |
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