Douglas Robert Kennedy in Boulder - Chiropractor
Douglas Robert Kennedy - NPI 1467559872
Douglas Robert Kennedy is a Chiropractor in Boulder, Colorado. Douglas Robert Kennedy practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Douglas Robert Kennedy is 1467559872. The last update date is 2023-10-02.
Douglas Robert Kennedy's current location address is 4578 Tally Ho Trl, Boulder, Colorado. You can contact this provider via phone number 3038170965 and fax number 3038456359. The mailing address for Douglas Robert Kennedy is 4578 Tally Ho Trl, Boulder, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Robert Kennedy |
|---|---|
| Address | 4578 Tally Ho Trl, Boulder, Colorado |
| Phone Number | 3038170965 |
| Fax Number | 3038456359 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1467559872 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2023-10-02 |
Provider Mailing Address Detail
| Address | 4578 Tally Ho Trl |
|---|---|
| City | Boulder |
| State | Colorado (CO) |
| Post Code | 803013862 |
| Phone Number | 3038170965 |
| Fax Number | 3038456359 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3147 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the unique 10-digit identifier code issued to Douglas Robert Kennedy by the Centers for Medicare & Medicaid Services?
The Douglas Robert Kennedy has been assigned the NPI (National Provider Identifier) 1467559872 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Douglas Robert Kennedy's facilities are geographically located?
The facilities of Douglas Robert Kennedy are physically situated at the following location: 4578 Tally Ho Trl, Boulder, CO, 803013862.
What is the area of specialization for Douglas Robert Kennedy, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Douglas Robert Kennedy is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did the Douglas Robert Kennedy receive the assignment of its 1467559872 from the Centers for Medicare & Medicaid Services?
The Douglas Robert Kennedy was issued its 1467559872 by the Centers for Medicare & Medicaid Services on 2006-09-20.
As of what date were the Douglas Robert Kennedy's details last updated?
The information pertaining to the Douglas Robert Kennedy, including its address, specialty, and other details, was most recently updated on 2023-10-02.
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