Provider Demographics
NPI:1316062599
Name:BRITTAIN, KATHRYN ESTHER (DC)
Entity type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:ESTHER
Last Name:BRITTAIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 S CASCADE AVE STE A
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-4980
Mailing Address - Country:US
Mailing Address - Phone:970-252-0378
Mailing Address - Fax:
Practice Address - Street 1:1010 S CASCADE AVE STE A
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-4980
Practice Address - Country:US
Practice Address - Phone:970-252-0378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4614111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO44673Medicare ID - Type Unspecified