Provider Demographics
NPI:1023610177
Name:KINDRED CHIROPRACTIC CO
Entity type:Organization
Organization Name:KINDRED CHIROPRACTIC CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:RACHEL
Authorized Official - Last Name:GILMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:720-379-7347
Mailing Address - Street 1:11184 HURON ST STE 9
Mailing Address - Street 2:
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80234-2323
Mailing Address - Country:US
Mailing Address - Phone:720-379-7347
Mailing Address - Fax:
Practice Address - Street 1:11184 HURON ST STE 9
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-2323
Practice Address - Country:US
Practice Address - Phone:720-379-7347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty