Individual provider · Type 1 NPI

Samuel Wilson Kaskovich

Student in an Organized Health Care Education/Training Program · Denver, CO

NPI number 1649910233 Active

Practice location

777 Bannock St # MC0108
Denver, CO 80204-4507

Call (303) 602-5193 Map

Other practice locations

  • 1024 Central Park Dr, Steamboat Springs, CO 80487-8813 · (970) 879-1322

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XDR.0075073 (CO)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1649910233

Samuel Wilson Kaskovich's National Provider Identifier is 1649910233, issued on Mar 31, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Denver, CO. The record was last updated on Jun 19, 2026.