1326299850 NPI number — TRANQUILITY CHIROPRACTIC & WELLNESS

Table of content: TRAVIS JAY KEMP DC (NPI 1881785319)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326299850 NPI number — TRANQUILITY CHIROPRACTIC & WELLNESS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRANQUILITY CHIROPRACTIC & WELLNESS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326299850
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/02/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9142 W KEN CARYL AVE
Provider Second Line Business Mailing Address:
UNIT D2
Provider Business Mailing Address City Name:
LITTLETON
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80128-5252
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
720-889-1659
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
425 S CHERRY ST
Provider Second Line Business Practice Location Address:
SUITE 307
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80246-1226
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-889-1659
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/02/2008

Additional Information

Authorized Official

Authorized Official Last Name:
KOEHN
Authorized Official First Name:
DARCY
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
720-889-1659

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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