Provider Demographics
NPI:1346551645
Name:KASTNER FAMILY CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:KASTNER FAMILY CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:KASTNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-224-9920
Mailing Address - Street 1:7400 E ARAPAHOE RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1279
Mailing Address - Country:US
Mailing Address - Phone:303-224-9920
Mailing Address - Fax:720-493-9566
Practice Address - Street 1:7400 E ARAPAHOE RD
Practice Address - Street 2:SUITE 150
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1279
Practice Address - Country:US
Practice Address - Phone:303-224-9920
Practice Address - Fax:720-493-9566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-01
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4486111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty