Timothy Kenneth Kelm in St Louis Park - Chiropractor
Timothy Kenneth Kelm - NPI 1619057007
Timothy Kenneth Kelm is a Chiropractor in St Louis Park, Minnesota. Timothy Kenneth Kelm practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Timothy Kenneth Kelm is 1619057007. The last update date is 2012-10-08.
Timothy Kenneth Kelm's current location address is 1660 Highway 100 S, St Louis Park, Minnesota. You can contact this provider via phone number 9524566160. The mailing address for Timothy Kenneth Kelm is 1660 Highway 100 S, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Kenneth Kelm |
|---|---|
| Address | 1660 Highway 100 S, St Louis Park, Minnesota |
| Phone Number | 9524566160 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1619057007 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2012-10-08 |
Provider Mailing Address Detail
| Address | 1660 Highway 100 S |
|---|---|
| City | St Louis Park |
| State | Minnesota (MN) |
| Post Code | 554161529 |
| Phone Number | 9524566160 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4573 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 378L8KE | MN | BCBS INDIVIDUAL PROVIDER | |
| 378L7PI | MN | BCBS PROVIDER GROUPNUMBER |
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What is the unique 10-digit identifier code issued to Timothy Kenneth Kelm by the Centers for Medicare & Medicaid Services?
The Timothy Kenneth Kelm has been assigned the NPI (National Provider Identifier) 1619057007 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Timothy Kenneth Kelm is geographically located?
The Timothy Kenneth Kelm is physically situated at the following location: 1660 Highway 100 S, St Louis Park, MN, 554161529.
What is Timothy Kenneth Kelm's specialized field of practice, and what is the corresponding taxonomy classification code?
The Timothy Kenneth Kelm's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
When was the Timothy Kenneth Kelm's 1619057007 issued?
The Timothy Kenneth Kelm's 1619057007 was issued on 2006-10-17.
When was the information regarding Timothy Kenneth Kelm most recently updated?
The details pertaining to the Timothy Kenneth Kelm, including its address, specialty, and other relevant information, were last refreshed on 2012-10-08.