Provider Demographics
NPI:1215468384
Name:MAIER, KENT (DC)
Entity type:Individual
Prefix:DR
First Name:KENT
Middle Name:
Last Name:MAIER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1046 LEPUS DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-5123
Mailing Address - Country:US
Mailing Address - Phone:701-928-0412
Mailing Address - Fax:970-305-8188
Practice Address - Street 1:2001 S SHIELDS ST STE L
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-1839
Practice Address - Country:US
Practice Address - Phone:970-494-1000
Practice Address - Fax:970-305-8188
Is Sole Proprietor?:No
Enumeration Date:2017-03-21
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0008571111N00000X
ND1057111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor