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KELLY CHIROPRACTIC PC NPI 1306944202


NPI Information

NPI: 1306944202
Provider Name: KELLY CHIROPRACTIC, PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1415 2ND AVE SW
MINOT, ND
ZIP 58701
Phone: (701) 837-5733
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KELLY CHIROPRACTIC, PC is a chiropractor in Minot, ND. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. KELLY CHIROPRACTIC, PC NPI is 1306944202. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1415 2ND AVE SW
MINOT, ND
ZIP 58701-629
Phone: (701) 837-5733
Fax: (701) 838-1513

The provider's authorized official is Michael Alan Kelly .
The authorized official title is Chiropractor and has the following contact phone number (701) 837-5733.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 10/31/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor762NORTH DAKOTANo
2111N00000XChiropractor749NORTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
113526MEDICAIDNORTH DAKOTA
2N711299MEDICARE PINNORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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