Provider Demographics
NPI:1871971788
Name:CAMPBELL CHIROPRACTIC LLC
Entity type:Organization
Organization Name:CAMPBELL CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARBY
Authorized Official - Middle Name:KENNETH JOHN
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:720-708-2275
Mailing Address - Street 1:6551 S REVERE PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-6410
Mailing Address - Country:US
Mailing Address - Phone:720-708-2275
Mailing Address - Fax:720-708-2293
Practice Address - Street 1:6551 S REVERE PKWY STE 110
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-6410
Practice Address - Country:US
Practice Address - Phone:720-708-2275
Practice Address - Fax:720-708-2293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007293111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty