Quackenbush, Kevin Scott

Quackenbush, Kevin Scott is an individual health care provider with primary practice located at 4747 Arapahoe Ave , Boulder CO 80303-1131. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Quackenbush, Kevin Scott can be contacted via phone (303) 415-7000.

Contact Information

Primary practice address
4747 Arapahoe Ave Boulder CO 80303-1131
Phone: (303) 415-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TL.0007177 Colorado
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X DR.0068125 Colorado

Profile Details

NPI number 1538664545
LBN Legal business name Quackenbush, Kevin Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2018
Last updated Jan 18th, 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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