MEDICARE: DR. CAMERON MCKILLOP D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	0007577	CO

General Provider Information

NPI Number	:	1346789807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAMERON MCKILLOP D.C.

Provider Business Mailing Address
First Line	:	1257 MADISON ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-3439
Country	:	US
Telephone Number	:	810-730-2658
Fax Number	:

Provider Business Practice Location Address
First Line	:	390 UNION BLVD
Second Line	:	SUITE 650
City	:	LAKEWOOD
State	:	CO
Zip	:	80228-1510
Country	:	US
Telephone Number	:	810-730-2658
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2017
Last Update Date	:	02/16/2017

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Directions to “ DR. CAMERON MCKILLOP D.C.” Practice Location

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