Provider Demographics
NPI:1619132065
Name:KAISER, JASON ALLAN (DC)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:ALLAN
Last Name:KAISER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7921 SOUTHPARK PLZ
Mailing Address - Street 2:107
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-5630
Mailing Address - Country:US
Mailing Address - Phone:303-347-8837
Mailing Address - Fax:
Practice Address - Street 1:640 PLAZA DR STE 100
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2399
Practice Address - Country:US
Practice Address - Phone:303-347-8837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-25
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6311111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor