Provider Demographics
NPI:1437500725
Name:KEVIN R. BATES, D.C., P.C.
Entity Type:Organization
Organization Name:KEVIN R. BATES, D.C., P.C.
Other - Org Name:ACTIVA 360
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:BATES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:720-941-5000
Mailing Address - Street 1:950 S CHERRY ST STE 210
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-2688
Mailing Address - Country:US
Mailing Address - Phone:720-941-5000
Mailing Address - Fax:303-394-2587
Practice Address - Street 1:950 S CHERRY ST STE 210
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-2688
Practice Address - Country:US
Practice Address - Phone:720-941-5000
Practice Address - Fax:303-394-2587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-28
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty