Organization
VITALIFE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN BERG DC (OWNER)
(720) 900-5251
Entity
Organization
Contact information
Practice address
1020 KEN PRATT BLVD UNIT D, LONGMONT, CO 80501
(720) 900-5251
Mailing address
1020 KEN PRATT BLVD UNIT D, LONGMONT, CO 80501-6376
(720) 900-5251
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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