Provider Demographics
NPI:1730615568
Name:STENGEL, KYLE PATRICK (DC)
Entity type:Individual
Prefix:DR
First Name:KYLE
Middle Name:PATRICK
Last Name:STENGEL
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 1:6350 S HAVANA ST APT 1011
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80111-5659
Mailing Address - Country:US
Mailing Address - Phone:970-799-1480
Mailing Address - Fax:
Practice Address - Street 1:7447 E BERRY AVE STE 150
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2142
Practice Address - Country:US
Practice Address - Phone:303-694-9759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007292111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation