Kelsey Latham, DC | |
6220 S Vivian St, Littleton, CO 80127-2391 | |
(303) 880-0792 | |
Not Available |
Full Name | Kelsey Latham |
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Gender | Female |
Speciality | Chiropractor |
Location | 6220 S Vivian St, Littleton, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417470980 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 0007651 (Colorado) | Primary |
Provider Name | Modern Chiropractic And Wellness Center Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154830164 PECOS PAC ID: 5395085278 Enrollment ID: O20190313001628 |
Mailing Address | Practice Location Address |
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Kelsey Latham, DC 6220 S Vivian St, Littleton, CO 80127-2391 Ph: () - | Kelsey Latham, DC 6220 S Vivian St, Littleton, CO 80127-2391 Ph: (303) 880-0792 |
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