Individual
DOUGLAS ROBERT KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4578 TALLY HO TRL, BOULDER, CO 80301-3862
(303) 817-0965
(303) 845-6359
Mailing address
4578 TALLY HO TRL, BOULDER, CO 80301-3862
(303) 817-0965
(303) 845-6359
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3147
CO
Other
Enumeration date
09/20/2006
Last updated
10/02/2023
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