Provider Demographics
NPI:1598894636
Name:KAMUCHEY, DEAN (DC)
Entity Type:Individual
Prefix:
First Name:DEAN
Middle Name:
Last Name:KAMUCHEY
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 1:6180 S GUN CLUB RD
Mailing Address - Street 2:UNIT L-4
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-5309
Mailing Address - Country:US
Mailing Address - Phone:303-690-8471
Mailing Address - Fax:303-690-8425
Practice Address - Street 1:6180 S GUN CLUB RD
Practice Address - Street 2:UNIT L-4
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-5309
Practice Address - Country:US
Practice Address - Phone:303-690-8471
Practice Address - Fax:303-690-8425
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5531111N00000X
WI3717-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC529088Medicare ID - Type Unspecified
COC529108Medicare ID - Type Unspecified
U91829Medicare UPIN