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CK SURGICAL LLC NPI 1285652966


NPI Information

NPI: 1285652966
Provider Name: CK SURGICAL LLC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
650 DITTMER AVENUE
PUEBLO, CO
ZIP 81005
Phone: (719) 565-1000
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CK SURGICAL LLC is a plastic and reconstructive surgery surgery in Pueblo, CO. The provider is a surgeon who specializes in plastic and reconstructive surgery. CK SURGICAL LLC NPI is 1285652966. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

650 DITTMER AVENUE
PUEBLO, CO
ZIP 81005-212
Phone: (719) 565-1000
Fax: (719) 565-1111

The provider's authorized official is Charles Willis Kessler .
The authorized official title is Owner and has the following contact phone number (719) 565-1000.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 10/25/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0105XSurgerySurgery of the HandNo
22086S0122XSurgeryPlastic and Reconstructive SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1KE32539OTHERCOLORADOBLUE CROSS BLUE SHIELD
2340208MEDICARE PINCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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