Healthcare Provider Details

I. General information

NPI: 1316475767
Provider Name (Legal Business Name): AUSTIN LOUIS KEYS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2017
Last Update Date: 02/05/2020
Certification Date: 02/05/2020
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

Practice location:
  • Phone: 303-955-4609
  • Fax: 720-484-6377
Mailing address:
  • Phone: 715-495-0032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number2786668
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0007618
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: