Provider Demographics
NPI:1992921175
Name:KURLAND, NICOLE ALINE (DOC)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:ALINE
Last Name:KURLAND
Suffix:
Gender:F
Credentials:DOC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7208 EAGLE SHADOW AVE
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-6000
Mailing Address - Country:US
Mailing Address - Phone:720-685-3168
Mailing Address - Fax:303-252-9834
Practice Address - Street 1:2145 E 120TH AVE
Practice Address - Street 2:SUITE H
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80233-1393
Practice Address - Country:US
Practice Address - Phone:303-252-9812
Practice Address - Fax:303-252-9834
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5107111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor