KEVIN MICHAEL OMELIA DC NPI 1912019340

NPI Information

NPI: 1912019340
Provider Name: KEVIN MICHAEL OMELIA, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
2026 CHESTNUT ST
PHILADELPHIA, PA
ZIP 19103
Phone: (215) 569-1900
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Kevin Michael Omelia, DC is a chiropractor in Philadelphia, PA. 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. Kevin Michael Omelia, DC NPI is 1912019340. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2026 CHESTNUT ST
PHILADELPHIA, PA
ZIP 19103
Phone: (215) 569-1900
Fax: (215) 569-2776

The enumeration date for this NPI number is 8/31/2006 and was last updated on 6/10/2013.

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 Code	Taxonomy Clasification	License Number	License State	Primary
1	133N00000X	Nutritionist	DN003994	PENNSYLVANIA	No
2	133V00000X	Dietitian, Registered	DN003994	PENNSYLVANIA	No
3	111N00000X	Chiropractor	DC8637	PENNSYLVANIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2622003	OTHER	PENNSYLVANIA	HIGHMARK BLUE SHIELD
2	1180341	OTHER	NEW JERSEY	HORIZON BLUE CROSS BLUE SHIELD OF NJ
3	11913763	OTHER		CAQH ID
4	242734YHVM	MEDICARE UPIN	PENNSYLVANIA
5	242734	MEDICARE PIN	PENNSYLVANIA

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: 11/14/2023

NPI Synchronization or Removal

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