Jerald Donald Kelly in Longview - Chiropractor

Jerald Donald Kelly - NPI 1528095460

Jerald Donald Kelly is a Chiropractor in Longview, Texas. Jerald Donald Kelly practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jerald Donald Kelly is 1528095460. The last update date is 2021-12-20.

Jerald Donald Kelly's current location address is 2 Doctor Cir, Longview, Texas. You can contact this provider via phone number 9037532322 and fax number 9032342322. The mailing address for Jerald Donald Kelly is 2 Doctor Cir, Longview, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerald Donald Kelly
Address 2 Doctor Cir, Longview, Texas
Phone Number 9037532322
Fax Number 9032342322
Sole Proprietor N
Credentials DC

NPI Number Detail

NPI Number 1528095460
Provider Enumeration Date 2006-06-27
Last Updated Date 2021-12-20

Provider Mailing Address Detail

Address 2 Doctor Cir
City Longview
State Texas (TX)
Post Code 756055050
Phone Number 9037532322
Fax Number 9032342322

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 8145
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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FAQs about Jerald Donald Kelly

What is the unique identifier code issued to Jerald Donald Kelly by the Centers for Medicare & Medicaid Services?

The Jerald Donald Kelly has been assigned the NPI (National Provider Identifier) 1528095460. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Jerald Donald Kelly?

The Jerald Donald Kelly is physically situated at 2 Doctor Cir, in the city of Longview, state of TX, with the postal code 756055050.

What is Jerald Donald Kelly's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jerald Donald Kelly's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1528095460 to Jerald Donald Kelly?

The Centers for Medicare & Medicaid Services originally issued the 1528095460 to Jerald Donald Kelly on 2006-06-27.

As of what date was the information pertaining to Jerald Donald Kelly, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jerald Donald Kelly, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-12-20.

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