DR. AMANDA KELSEY (NPI# 1164405973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164405973 |
| Entity Type | Individual |
| Full Name | DR. AMANDA KELSEY |
| Credential | DC |
| Practice Address |
317 Stillwater Road Willernie MN 55090-0802 |
| Mailing Address |
5705 Hadley Avenue Oakdale MN 55128-1022 |
| Practice Telephone | 6515384558 |
| Practice Fax Number | 8662268644 |
| Mailing Telephone | 6515384558 |
| Mailing Fax Number | 8664964047 |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2015-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4259 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS | 56M14KE | 01 |
| MN | HEALTH PARTNERS | 100961 | 01 |
| MN | 318655500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548615172 | Amanda Lynn Kelsey | Nurse Practitioner | 21647 Ryan Road, Warren, MI 48091 | 2016-05-02 |
| Street Address |
317 STILLWATER ROAD |
| City | WILLERNIE |
| State | MN |
| Zip Code | 55090-0802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275736613 | Kelsey Chiropractic, Pllc | Chiropractor | 317 Stillwater Road, Willernie, MN 55090-0802 | 2007-06-05 |
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275736613 | Kelsey Chiropractic, Pllc | Chiropractor | 317 Stillwater Road, Willernie, MN 55090-0802 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477785 | Samantha Nielsen | Chiropractor | 482 Snelling Ave S, Saint Paul, MN 55116-1501 | 2020-11-04 |
| 1063013340 | Plymouth Chirocenter LLC | Chiropractor | 3900 Vinewood Ln N Ste 19, Plymouth, MN 55441-1155 | 2020-11-04 |
| 1093315855 | Today Evolved Ltd. | Chiropractor | 321 Broadway Ave, St Paul Park, MN 55071-1841 | 2020-10-29 |
| 1417556796 | Nicole Frogner Koshiol | Chiropractor | 11901 Highway 65 Ne, Blaine, MN 55434-3911 | 2020-10-19 |
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1659988848 | Amanda Shorter | Chiropractor | 669 Winnetka Ave N Ste 202, Golden Valley, MN 55427-4576 | 2020-09-30 |
| 1700499308 | Devries Spine Care Pllc | Chiropractor | 4748 Chicago Ave Ste 10, Minneapolis, MN 55407-4311 | 2020-08-25 |
| 1316559024 | Lashonda Jung | Chiropractor | 8112 Minnetonka Blvd, St Louis Park, MN 55426-3022 | 2020-08-24 |
| 1699384198 | Arrow Health Chiropractic, P.a. | Chiropractor | 1000 Nicollet Mall # 260, Minneapolis, MN 55403-2542 | 2020-07-30 |
| 1366051278 | Altrui Sc | Chiropractor | 11985 Technology Dr Ste 120, Eden Prairie, MN 55344-3614 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. AMANDA KELSEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.