Healthcare Provider Details
I. General information
NPI: 1003456690
Provider Name (Legal Business Name): KEYS CHIROPRACTIC CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/10/2020
Last Update Date: 01/10/2020
Certification Date: 01/10/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3915 E EXPOSITION AVE STE 100
DENVER CO
80209-5052
US
IV. Provider business mailing address
8786 W INDORE DR
LITTLETON CO
80128-4242
US
V. Phone/Fax
- Phone: 303-955-4609
- Fax: 720-484-6377
- Phone: 715-495-0032
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
AUSTIN
LOUIS
KEYS
Title or Position: OWNER
Credential: DC
Phone: 715-495-0032