Individual provider · Type 1 NPI
Jacob Kyle Holdren, DC
Chiropractor · Holly, CO
NPI number
1639149594
Active
Practice location
209 S. Main Street
Holly, CO 81047
Mailing address
PO Box 284
Holly, CO 81047-0284
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 04871 (KS) |
| Chiropractor Primary | 111N00000X | CHR.0007359 (CO) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
About NPI 1639149594
Jacob Kyle Holdren, DC's National Provider Identifier is 1639149594, issued on Jan 24, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Holly, CO. The record was last updated on Oct 21, 2019.