Individual
JOSEPH J KEZEOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2121 E HARMONY RD, SUITE 230, FORT COLLINS, CO 80528
(970) 266-8822
(970) 266-8833
Mailing address
3205 N ACADEMY BLVD STE 130, COLORADO SPRINGS, CO 80917-5152
(719) 632-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
04-41643
KS
207Q00000X
Family Medicine Physician
11037807-1205
UT
207Q00000X
Family Medicine Physician
11383
SD
207Q00000X
Family Medicine Physician
18414
NV
207Q00000X
Family Medicine Physician
281-320
WI
207Q00000X
Family Medicine Physician
57589
AZ
207Q00000X
Family Medicine Physician
64736
MN
207Q00000X
Family Medicine Physician
Primary
CDRH.0053122
CO
207Q00000X
Family Medicine Physician
DR.0053122
CO
207Q00000X
Family Medicine Physician
MD-45754
IA
207Q00000X
Family Medicine Physician
MD22717
ME
207Q00000X
Family Medicine Physician
MD60913138
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43600361
—
CO
05
—
47081633613
—
NE
01
—
P01275583
MEDICARE RAILROAD
CO
Enumeration date
03/29/2007
Last updated
09/10/2019
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