Kelvin Michael Washington, D.C.
Individual provider Active NPI Chiropractor · Conifer, CO
NPI 1083799951 · NPPES record last updated Feb 28, 2013
Key facts
- NPI
- 1083799951
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3605 (CO)
- Practice address
- 25797 Conifer Rd Ste B211
Conifer, CO 80433-9052 - Phone
- (303) 838-2443
- Fax
- (303) 838-2443
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3605 | CO | MD | Adult Development & Aging Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3605 | CO | Yes |
Addresses
Primary practice location
25797 Conifer Rd Ste B211
Conifer, CO 80433-9052
Mailing address
P.O. Box 1154
Morrison, CO 80465-1154
Phone (303) 838-2443
Other providers in Conifer, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.