Healthcare Provider Details

I. General information

NPI: 1285591248
Provider Name (Legal Business Name): IAN KIPKOSGEI KOLUM DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6120 BARNES RD STE 160
COLORADO SPRINGS CO
80922-2605
US

IV. Provider business mailing address

6120 BARNES RD STE 160
COLORADO SPRINGS CO
80922-2605
US

V. Phone/Fax

Practice location:
  • Phone: 719-344-9270
  • Fax: 719-203-5271
Mailing address:
  • Phone: 719-344-9270
  • Fax: 719-203-5271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberNONE
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: