Organization
PEAK VITALITY LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANNY L. KELLAMS II L.AC. (OWNER)
(720) 504-8007
Entity
Organization
Contact information
Practice address
1536 COLE BLVD STE 335, LAKEWOOD, CO 80401-3413
(720) 504-8007
(557) 590-7418
Mailing address
1536 COLE BLVD STE 335, LAKEWOOD, CO 80401-3413
(720) 504-8007
(557) 590-7418
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1639790
CO
171100000X
Acupuncturist
ACU.0001814
CO
207R00000X
Internal Medicine Physician
Primary
DR34457
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205202272
—
CO
Enumeration date
07/12/2017
Last updated
03/05/2024
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