Provider Demographics
NPI:1447756747
Name:SWEET, KELSEY ELIZABETH (DC)
Entity Type:Individual
Prefix:DR
First Name:KELSEY
Middle Name:ELIZABETH
Last Name:SWEET
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3705 W 12TH ST
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-2551
Mailing Address - Country:US
Mailing Address - Phone:970-373-4475
Mailing Address - Fax:970-797-1109
Practice Address - Street 1:3705 W 12TH ST
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-2551
Practice Address - Country:US
Practice Address - Phone:970-373-4475
Practice Address - Fax:970-797-1109
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR0007773111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor