Provider Demographics
NPI:1598715559
Name:PERKINS, KURT B (DC)
Entity Type:Individual
Prefix:
First Name:KURT
Middle Name:B
Last Name:PERKINS
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 1:245 S ACADEMY BLVD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80910-2713
Mailing Address - Country:US
Mailing Address - Phone:719-574-6006
Mailing Address - Fax:719-574-7365
Practice Address - Street 1:6285 LEHMAN DR BLDG D STE 101
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1497
Practice Address - Country:US
Practice Address - Phone:719-533-0303
Practice Address - Fax:719-533-0304
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5827111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor