Provider Demographics
NPI:1376065078
Name:CAMPBELL, DARBY KJ (DC)
Entity Type:Individual
Prefix:DR
First Name:DARBY
Middle Name:KJ
Last Name:CAMPBELL
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 1:6551 S REVERE PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-6410
Mailing Address - Country:US
Mailing Address - Phone:720-708-2275
Mailing Address - Fax:720-708-2293
Practice Address - Street 1:6551 S REVERE PKWY STE 110
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-6410
Practice Address - Country:US
Practice Address - Phone:720-708-2275
Practice Address - Fax:720-708-2293
Is Sole Proprietor?:No
Enumeration Date:2017-07-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007293111NN0400X, 111NP0017X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN0400XChiropractic ProvidersChiropractorNeurology
No111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor