DR. KELLY WALLIS D.C. NPI 1952724395

NPI Information

NPI: 1952724395
Provider Name: DR. KELLY WALLIS, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
6309 CORPORATE CT
STE. 110
FORT MYERS, FL
ZIP 33919
Phone: (239) 433-1011
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DR. Kelly Wallis, D.C. is a chiropractor in Fort Myers, FL with 11 years of experience. 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. Kelly Wallis, D.C. NPI is 1952724395. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6309 CORPORATE CT
STE. 110
FORT MYERS, FL
ZIP 33919-538
Phone: (239) 433-1011
Fax: (239) 433-3737

The enumeration date for this NPI number is 1/21/2014 and was last updated on 1/21/2014.

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	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		CH10990	FLORIDA	Yes

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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