Individual
KEVIN RALPH PORTENIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5066 S WADSWORTH WAY, SUITE #103, LITTLETON, CO 80123-1254
(303) 972-0800
(303) 972-4132
Mailing address
10223 W MARLOWE PL, LITTLETON, CO 80127-1322
(303) 933-7095
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3218
CO
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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