Healthcare Provider Details

I. General information

NPI: 1689594194
Provider Name (Legal Business Name): KC ELITE MEDICAL MUSCLE CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2530 N 8TH ST STE 206
GRAND JUNCTION CO
81501-8858
US

IV. Provider business mailing address

2530 N 8TH ST STE 206
GRAND JUNCTION CO
81501-8858
US

V. Phone/Fax

Practice location:
  • Phone: 970-589-1090
  • Fax:
Mailing address:
  • Phone: 970-589-1090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KAYLA COVINGTON
Title or Position: FOUNDER/ OWNER
Credential: FNP
Phone: 970-589-1090