Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kevin Russell Mikalaitis

Individual provider Chiropractor · NPI 1104008663

Dr. Kevin Russell Mikalaitis is a Chiropractic in Longmont, Colorado. Graduated from Palmer College Chiropractic - West Sunnyvale in 2005, 21 years ago. Licensed in Colorado.

Years since qualifying
21
Trained at
Palmer College Chiropractic - West Sunnyvale
Licensed in
CO
In the registry since
2007

Practice location Address checks out

1318 Vivian St
Longmont, CO 80501-3217
Phone: (303) 776-0882
Fax: (303) 776-1053
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CHR-6064 (CO)

Record details

NPI number1104008663
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 27, 2007
Last updated in NPPESJanuary 7, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolPALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated

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