Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 0007618 | CO |
N | 111NR0400X | Rehabilitation Chiropractor | 2786668 | CO |
NPI | 1316475767 |
---|---|
Provider Name | Dr. Austin Louis Keys |
First Address | Littleton, CO 80128-4242 |
Second Address | Denver, CO 80209-5052 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2017 |
Last Update Date | 05/02/2020 |