Individual
DR. KASEY SCOTT MCCREIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 S CRESCENT DR, PUEBLO, CO 81007-5434
(719) 595-7575
(719) 288-2799
Mailing address
PO BOX 560825, DENVER, CO 80256-0825
(719) 595-7580
(719) 545-0176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48019
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52076229
—
CO
01
—
P01010929
RAIL ROAD MEDICARE
CO
Enumeration date
03/03/2009
Last updated
02/16/2016
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