Provider Demographics
NPI:1972183572
Name:FECK, KASIE E
Entity Type:Individual
Prefix:
First Name:KASIE
Middle Name:E
Last Name:FECK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4610 W MINERAL DR UNIT 1335
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-2582
Mailing Address - Country:US
Mailing Address - Phone:419-705-3050
Mailing Address - Fax:
Practice Address - Street 1:4610 W MINERAL DR UNIT 1335
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-2582
Practice Address - Country:US
Practice Address - Phone:419-705-3050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-09
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant