Provider Demographics
NPI:1902050800
Name:PLANK, PAMELA GEAN YENKINSON (ND, LAC)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:GEAN YENKINSON
Last Name:PLANK
Suffix:
Gender:F
Credentials:ND, LAC
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Mailing Address - Street 1:730 W HAMPDEN AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-2120
Mailing Address - Country:US
Mailing Address - Phone:303-758-6400
Mailing Address - Fax:303-759-1276
Practice Address - Street 1:730 W HAMPDEN AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-2120
Practice Address - Country:US
Practice Address - Phone:303-758-6400
Practice Address - Fax:303-759-1276
Is Sole Proprietor?:No
Enumeration Date:2008-11-05
Last Update Date:2011-12-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO1609171100000X
OR1643175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No175F00000XOther Service ProvidersNaturopath