Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CHR.0007293 | CO |
N | 111NN0400X | Neurology | CHR.0007293 | CO |
N | 111NP0017X | Pediatric Chiropractor | CHR.0007293 | CO |
NPI | 1376065078 |
---|---|
Provider Name | Dr. Darby Kj Campbell |
First Address | Centennial, CO 80111-6410 |
Second Address | Centennial, CO 80111-6410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2017 |
Last Update Date | 13/07/2017 |