Doctor Name: | DR. KELLEN PARK SCHWEITZER |
NPI Number: | 1134542574 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C., B.S. |
License Number: | CHR.0007085 |
Business Practice Address: | 1047 N Lincoln Ave Loveland, CO - 805374844 |
Business Phone Number: | 9706674062 |
Business Fax Number: | 9706675089 |
Mailing Address: | 5155 Cherrywood Ln, JOHNSTOWN |
State: | CO |
Postal Code: | 805342837 |
Phone Number: | 9706674062 |
Fax Number: | 9706675089 |
NPI Enumeration Date: | 01/21/2014 |
NPI Last Update Date: | 04/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CHR.0007085 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |