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DR. CORVIN KELLY D.C. NPI 1134120058

NPI Profile

NPI: 1134120058
Provider Name: DR. CORVIN KELLY, D.C.
Classification:Chiropractor - 111N00000X
Entity Type: Individual
74976 US HIGHWAY 111
ZIP 92210
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Phone: (760) 568-5455

DR. Corvin Kelly, D.C. is a chiropractor in Indian Wells, CA. 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. DR. Corvin Kelly, D.C. NPI is 1134120058. 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:

74976 US HIGHWAY 111
ZIP 92210-117
Phone: (760) 568-5455
Fax: (760) 568-5444

The enumeration date for this NPI number is 8/2/2005 and was last updated on 3/14/2008.

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

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

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: 9/12/2021

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