Organization
KIRK CASEY, M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK CHRISTOPHER CASEY M.D. (OWNER)
(530) 879-0400
Entity
Organization
Contact information
Practice address
2565 CEANOTHUS AVE SUITE 150, CHICO, CA 95973-7615
(530) 879-0400
(530) 879-0404
Mailing address
2565 CEANOTHUS AVE SUITE 150, CHICO, CA 95973-7615
(530) 879-0400
(530) 879-0404
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G61633
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972568467
INDIVIDUAL NPI
CA
Enumeration date
06/29/2006
Last updated
08/22/2020
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