Provider Demographics
NPI:1417226531
Name:SMOKY HILL CHIROPRACTIC, INC
Entity Type:Organization
Organization Name:SMOKY HILL CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:LYNNETTE
Authorized Official - Last Name:BOHKS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-627-4585
Mailing Address - Street 1:13790 E RICE PL
Mailing Address - Street 2:SUITE 120
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-1007
Mailing Address - Country:US
Mailing Address - Phone:303-627-4585
Mailing Address - Fax:303-627-7273
Practice Address - Street 1:13790 E RICE PL
Practice Address - Street 2:SUITE 120
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-1007
Practice Address - Country:US
Practice Address - Phone:303-627-4585
Practice Address - Fax:303-627-7273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-19
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3050111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty