Provider Demographics
NPI:1083930952
Name:KOLOWSKI, DAVID RICHARD (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:RICHARD
Last Name:KOLOWSKI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2530 ABARR DR
Mailing Address - Street 2:STE 120A
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-3170
Mailing Address - Country:US
Mailing Address - Phone:970-685-8060
Mailing Address - Fax:
Practice Address - Street 1:2530 ABARR DR
Practice Address - Street 2:STE 120A
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-3170
Practice Address - Country:US
Practice Address - Phone:970-685-8060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-16
Last Update Date:2017-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6512111N00000X
NE1614111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition