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KELLY CHIROPRACTIC CENTER PA NPI 1356446926


NPI Information

NPI: 1356446926
Provider Name: KELLY CHIROPRACTIC CENTER, PA
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1825 16TH ST SW
MINOT, ND
ZIP 58701
Phone: (701) 838-5000
Get Directions

KELLY CHIROPRACTIC CENTER, PA 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 CENTER, PA NPI is 1356446926. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1825 16TH ST SW
MINOT, ND
ZIP 58701-428
Phone: (701) 838-5000
Fax: (701) 852-1184

The provider's authorized official is Chad Garrett Kelly .
The authorized official title is Chiropractor/owner and has the following contact phone number (910) 214-6887.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 9/17/2019.


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
1111N00000XChiropractor2714NORTH CAROLINAYes

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
1890841KMEDICAIDNORTH CAROLINA

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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