Individual
DR. JACOB KYLE HOLDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
209 S. MAIN STREET, HOLLY, CO 81047
(719) 537-0200
Mailing address
PO BOX 284, HOLLY, CO 81047-0284
(719) 537-0200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
04871
KS
111N00000X
Chiropractor
Primary
CHR.0007359
CO
Other
Enumeration date
01/24/2006
Last updated
10/21/2019
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