Individual
GRANT MCKASKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1055 CLERMONT ST, DENVER, CO 80220-3808
(303) 399-8020
Mailing address
2301 S BALSAM LN, LAKEWOOD, CO 80227-3162
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
1625778
CO
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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