# STILL POINT MEDICAL CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184800757
- **Authorized official:** DR. ADRIENNE MARIE KANIA DO (PRESIDENT/OWNER)
- **Authorized official phone:** (719) 385-0600

## Contact information

- **Practice address:** 1430 S. 21ST STREET, SUITE 100, COLORADO SPRINGS, CO 80904-4279
- **Practice address phone:** (719) 385-0600
- **Practice address fax:** (719) 385-0601
- **Mailing address:** 1430 S. 21ST STREET, SUITE 100, COLORADO SPRINGS, CO 80904-4279
- **Mailing address phone:** (719) 385-0600
- **Mailing address fax:** (719) 385-0601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 31196 | CO | Yes |
| 207Q00000X | Family Medicine Physician | — | CO | — |

## Other

- **Enumeration date:** 01/14/2008
- **Last updated:** 08/04/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01311968 | — | CO |