Organization
PORTENIER CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN RALPH PORTENIER D.C. (PRESIDENT)
(303) 972-0800
Entity
Organization
Contact information
Practice address
7373 W JEFFERSON AVE STE 402, LAKEWOOD, CO 80235-2051
(303) 972-0800
(303) 972-4132
Mailing address
7373 W JEFFERSON AVE STE 402, LAKEWOOD, CO 80235-2051
(303) 972-0800
(303) 972-4132
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3218
CO
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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