Organization
POWELL CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID KEITH POWELL SR. D.C. (OWNER)
(719) 687-6096
Entity
Organization
Contact information
Practice address
490 RAMPART RANGE RD, WOODLAND PARK, CO 80863-2429
(719) 687-6096
(719) 687-9623
Mailing address
PO BOX 5176, WOODLAND PARK, CO 80866-5176
(719) 687-6096
(719) 687-9623
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2946
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C26973
MEDICARE PTAN
CO
Enumeration date
04/09/2010
Last updated
01/30/2012
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