| Kamryn Sholly, DC | |
|
5714 W 89th Ave, Westminster, CO 80031-2869 | |
| (719) 649-1274 | |
| Not Available |
| Full Name | Kamryn Sholly |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 5714 W 89th Ave, Westminster, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043891302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHR.0008368 (Colorado) | Primary |
| Provider Name | 100 Chiro Westminster, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881286599 PECOS PAC ID: 0941605810 Enrollment ID: O20210817000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Kamryn Sholly, DC 13650 E Colfax Ave Apt 3522, Aurora, CO 80011-6931 Ph: () - | Kamryn Sholly, DC 5714 W 89th Ave, Westminster, CO 80031-2869 Ph: (719) 649-1274 |
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