Matteson, Kevin M

Matteson, Kevin M is an individual health care provider with primary practice located at 1311A N Mildred Rd Ste A, Cortez CO 81321-2231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Matteson, Kevin M can be contacted via phone (970) 564-2681.

Contact Information

Primary practice address
1311A N Mildred Rd Ste A Cortez CO 81321-2231
Phone: (970) 564-2681
Fax: (970) 564-2682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X DR.0039709 Colorado

Profile Details

NPI number 1407853013
LBN Legal business name Matteson, Kevin M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2005
Last updated Nov 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407853013 NPPES
Colorado MEDICAID 40984567

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