Provider Demographics
NPI:1457548489
Name:KESNER, CHADWICK (DC)
Entity Type:Individual
Prefix:DR
First Name:CHADWICK
Middle Name:
Last Name:KESNER
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 1:9299 S BROADWAY STE 100
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-5603
Mailing Address - Country:US
Mailing Address - Phone:303-683-3377
Mailing Address - Fax:303-683-1453
Practice Address - Street 1:9265 S BROADWAY UNIT 200
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-6666
Practice Address - Country:US
Practice Address - Phone:303-683-3377
Practice Address - Fax:303-683-1453
Is Sole Proprietor?:No
Enumeration Date:2007-10-03
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4383111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COU70365Medicare UPIN