Provider Demographics
NPI:1992958490
Name:COX, KELLY LEE (DC)
Entity type:Individual
Prefix:DR
First Name:KELLY
Middle Name:LEE
Last Name:COX
Suffix:
Gender:F
Credentials:DC
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Mailing Address - Street 1:2532 PATTERSON RD
Mailing Address - Street 2:SUITE 15
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81505-1099
Mailing Address - Country:US
Mailing Address - Phone:970-254-2954
Mailing Address - Fax:970-254-2958
Practice Address - Street 1:2532 PATTERSON RD
Practice Address - Street 2:SUITE 15
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-1099
Practice Address - Country:US
Practice Address - Phone:970-254-2954
Practice Address - Fax:970-254-2958
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO6300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor