Provider Demographics
NPI:1710289210
Name:DENNEY, MARY KYRAN (DC)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:KYRAN
Last Name:DENNEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:KYRAN
Other - Last Name:PETERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:15 EAGLE CANYON DR
Mailing Address - Street 2:# 105
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89441-5601
Mailing Address - Country:US
Mailing Address - Phone:775-762-3184
Mailing Address - Fax:775-622-3024
Practice Address - Street 1:15 EAGLE CANYON DR
Practice Address - Street 2:# 105
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89441-5601
Practice Address - Country:US
Practice Address - Phone:775-762-3184
Practice Address - Fax:775-622-3024
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-03
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01345111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor