Provider Demographics
NPI:1427271618
Name:KINCH, JOEL ALEXANDER (DC, DPHCS)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:ALEXANDER
Last Name:KINCH
Suffix:
Gender:M
Credentials:DC, DPHCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 LEWIS ST
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-2608
Mailing Address - Country:US
Mailing Address - Phone:303-814-1568
Mailing Address - Fax:
Practice Address - Street 1:316 4TH ST
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-2413
Practice Address - Country:US
Practice Address - Phone:303-814-3980
Practice Address - Fax:303-814-3981
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4948111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor