Individual provider · Type 1 NPI
Keith Allen Wagner, DC
Chiropractor · Arvada, CO
NPI number
1659605541
Active
Practice location
5716 Ammons St
Arvada, CO 80002-2424
Fax (303) 940-6320
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 3161 (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.
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About NPI 1659605541
Keith Allen Wagner, DC's National Provider Identifier is 1659605541, issued on Sep 24, 2009. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Arvada, CO. The record was last updated on Sep 24, 2009.