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General NPI Number Information
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NPI Number | 1427271618
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Entity Type | Individual
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Provider Name | JOEL ALEXANDER KINCH D.C., D.PHC.S.
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Gender | Male
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 316 4TH ST
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City | CASTLE ROCK
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State | CO
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Zip | 80104-2413
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Country | US
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Telephone | 303-814-3980
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Fax | 303-814-3981
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Provider Business Mailing Address
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Address Line | 15 LEWIS ST
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City | CASTLE ROCK
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State | CO
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Zip | 80104-2608
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Country | US
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Telephone | 303-814-1568
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4948
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License Number State | CO
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