Provider Demographics
NPI:1629163183
Name:MARLER, MCKAY C (MD)
Entity Type:Individual
Prefix:
First Name:MCKAY
Middle Name:C
Last Name:MARLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:KC
Other - Middle Name:
Other - Last Name:MARLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1627 E 18TH ST
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-4209
Mailing Address - Country:US
Mailing Address - Phone:970-663-0135
Mailing Address - Fax:970-461-1422
Practice Address - Street 1:2555 E 13TH ST
Practice Address - Street 2:BIG THOMPSON MED GROUP PC LOVELAND PEDIATRICS SUITE 103
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537
Practice Address - Country:US
Practice Address - Phone:970-663-5437
Practice Address - Fax:970-663-5762
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO44578208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NETEP4909OtherLICENSE
CO35005238Medicaid
CO44578OtherLICENSE
CO44578OtherLICENSE
CO35005238Medicaid