Kelly Chiropractic, Pa in Golden Valley - Chiropractor
Kelly Chiropractic, Pa - NPI 1639237969
Kelly Chiropractic, Pa is a Chiropractor in Golden Valley, Minnesota. Kelly Chiropractic, Pa practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kelly Chiropractic, Pa is 1639237969. The last update date is 2010-11-01.
Kelly Chiropractic, Pa's current location address is 8421 Wayzata Blvd. Suite 220, Golden Valley, Minnesota. You can contact this provider via phone number 7632310143. The mailing address for Kelly Chiropractic, Pa is 8421 Wayzata Blvd. Suite 220, Golden Valley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kelly Chiropractic, Pa |
|---|---|
| Address | 8421 Wayzata Blvd. Suite 220, Golden Valley, Minnesota |
| Phone Number | 7632310143 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kelly-Kohnke E Gwendolyn |
| Credentials | DC |
| Telephone Number | 7632310143 |
NPI Number Detail
| NPI Number | 1639237969 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2010-11-01 |
Provider Mailing Address Detail
| Address | 8421 Wayzata Blvd. Suite 220 |
|---|---|
| City | Golden Valley |
| State | Minnesota (MN) |
| Post Code | 55426 |
| Phone Number | 7632310143 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4183 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 320S0KE | BLUE CROSS BLUE SHIELD # |
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What is the Kelly Chiropractic, Pa's unique identification number?
The Kelly Chiropractic, Pa has been assigned the NPI (National Provider Identifier) Number 1639237969 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Kelly Chiropractic, Pa?
The Kelly Chiropractic, Pa is situated at 8421 Wayzata Blvd. Suite 220, in the city of Golden Valley, state of MN, with the zip code 55426.
What is Kelly Chiropractic, Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kelly Chiropractic, Pa is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date was the 1639237969 assigned to Kelly Chiropractic, Pa?
The Kelly Chiropractic, Pa was issued its 1639237969 on 2006-12-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kelly Chiropractic, Pa most recently updated?
The details pertaining to the Kelly Chiropractic, Pa, including its address, specialty, and other relevant information, were last refreshed on 2010-11-01.
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