Individual
DR. KERRA DALE FOREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1938 PALM DR, COLORADO SPRINGS, CO 80918-7805
(719) 445-0711
Mailing address
1938 PALM DR, COLORADO SPRINGS, CO 80918-7805
(719) 445-0711
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
920734980
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
841081956
TAX IDENTIFICATION
CO
Enumeration date
05/08/2007
Last updated
04/25/2014
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