Provider Demographics
NPI:1245653609
Name:FRONT RANGE FAMILY HEALTH & CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:FRONT RANGE FAMILY HEALTH & CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KELLEN
Authorized Official - Middle Name:PARK
Authorized Official - Last Name:SCHWEITZER
Authorized Official - Suffix:
Authorized Official - Credentials:DC, BS
Authorized Official - Phone:913-777-9022
Mailing Address - Street 1:1047 N LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-4844
Mailing Address - Country:US
Mailing Address - Phone:970-667-4062
Mailing Address - Fax:970-667-5089
Practice Address - Street 1:1047 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-4844
Practice Address - Country:US
Practice Address - Phone:970-667-4062
Practice Address - Fax:970-667-5089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-21
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007085111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty