Kelly M Spore is a Chiropractor in Vincennes, Indiana. Kelly M Spore practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kelly M Spore is 1194748335. The last update date is 2007-07-08.
Kelly M Spore's current location address is 504 Vigo St, Vincennes, Indiana. You can contact this provider via phone number 8128864227 and fax number 8128863849. The mailing address for Kelly M Spore is 504 Vigo St, Vincennes, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly M Spore |
|---|---|
| Address | 504 Vigo St, Vincennes, Indiana |
| Phone Number | 8128864227 |
| Fax Number | 8128863849 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1194748335 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 504 Vigo St |
|---|---|
| City | Vincennes |
| State | Indiana (IN) |
| Post Code | 475911145 |
| Phone Number | 8128864227 |
| Fax Number | 8128863849 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 08002247A |
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Definition: 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 inte |
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What is the unique identifier code issued to Kelly M Spore by the Centers for Medicare & Medicaid Services?
The Kelly M Spore has been assigned the NPI (National Provider Identifier) 1194748335. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kelly M Spore is physically located?
The Kelly M Spore is situated at the following address: 504 Vigo St, Vincennes, IN 475911145.
What is Kelly M Spore's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kelly M Spore is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1194748335 to Kelly M Spore?
The Centers for Medicare & Medicaid Services assigned the 1194748335 to Kelly M Spore on 2006-07-26.
As of what date were the Kelly M Spore's details last updated?
The information pertaining to the Kelly M Spore, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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