MEDICARE: DR. KERI LYNN DENNISON DC

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	CHR.0007725	CO

General Provider Information

NPI Number	:	1447750179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KERI LYNN DENNISON DC

Provider Business Mailing Address
First Line	:	PO BOX 770691
Second Line	:
City	:	STEAMBOAT SPRINGS
State	:	CO
Zip	:	80477-0691
Country	:	US
Telephone Number	:	970-717-0012
Fax Number	:

Provider Business Practice Location Address
First Line	:	1815 CENTRAL PARK DR UNIT 101A
Second Line	:
City	:	STEAMBOAT SPRINGS
State	:	CO
Zip	:	80487-8885
Country	:	US
Telephone Number	:	970-717-0012
Fax Number	:

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

Provider Enumeration Date	:	02/19/2018
Last Update Date	:	02/19/2018

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