DR. BRYCE D KOELLING (NPI# 1568419596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568419596 |
| Entity Type | Individual |
| Full Name | DR. BRYCE D KOELLING |
| Credential | D.C. |
| Practice Address |
621 Commons Dr Fulton MO 65251 |
| Mailing Address |
621 Commons Dr Fulton MO 65251-1489 |
| Practice Telephone | 5736422273 |
| Practice Fax Number | 5736421900 |
| Mailing Telephone | 5736422273 |
| Mailing Fax Number | 5736421900 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2019-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 6746 | MO | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3702 W Truman Blvd Ste 218, Jefferson City, MO 651094970 | 5736066970 | |
| 605 Nichols St, Fulton, MO 652512650 | 5726422273 | 5736421900 |
| 621 Commons Dr, Fulton, MO 65251 | 5736422273 | 5736421900 |
| Street Address |
621 COMMONS DR |
| City | FULTON |
| State | MO |
| Zip Code | 65251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346717766 | Jamaal Rahman | Chiropractor | 621 Commons Dr, Fulton, MO 65251-1489 | 2018-10-24 |
| 1972009322 | Devin D Johnson | Chiropractor | 621 Commons Dr, Fulton, MO 65251-1489 | 2018-04-04 |
| 1437537214 | Adam Kolin Kramer | Chiropractor | 621 Commons Dr, Fulton, MO 65251-1489 | 2015-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174008023 | East Central Missouri Behavioral Health Services, Inc. | Psychiatry & Neurology | 581 Commons Drive, Fulton, MO 65251 | 2018-09-26 |
| 1659888428 | Annette Marie Holt | Nurse Practitioner | 350 Country Meadows Lane, Fulton, MO 65251 | 2018-01-03 |
| 1922458454 | Benjamin Newell Crary | Family Medicine | 110 N Hosital Dr, Fulton, MO 65251 | 2016-06-15 |
| 1750763348 | Ssm Audrain Health Care, Inc | Clinic/Center | 350 Country Meadow Ln, Fulton, MO 65251 | 2015-06-19 |
| 1366829426 | Bigeye Emergency Physicians LLC | Emergency Medicine | 10 South Hospital Deive, Fulton, MO 65251 | 2015-04-28 |
| 1881019750 | Mid-missouri Hearing and Balance, Inc. | Audiologist-Hearing Aid Fitter | 850 W. Hospital Drive, Ste. G, Fulton, MO 65251 | 2014-02-28 |
| 1861828105 | Justin Ryan Campbell | Occupational Therapist | 508 Saint Eunice Road, Fulton, MO 65251 | 2013-09-18 |
| 1417257536 | June A Dillon | Counselor | 2625 Fairway Dr., Suite E, Fulton, MO 65251 | 2010-10-22 |
| 1033354196 | Michael K Mcelhinney | Specialist/Technologist | One University Avenue, William Woods University - Athletics, Fulton, MO 65251 | 2008-12-03 |
| 1326299967 | Karanbir Sandhu | Dentist | 1393 Highway O, Fulton, MO 65251 | 2008-10-01 |
| Find all providers in zip 65251 | ||||
| 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 |
|---|---|---|---|---|
| 1851878219 | Ams Holdings, LLC | Chiropractor | 1106 4th Street, Fulton, IL 61252-1718 | 2018-07-27 |
| 1285155085 | Tri Kim LLC | Chiropractor | 11820 W Market Pl Ste K, Fulton, MD 20759-2421 | 2017-06-30 |
| 1275966715 | Bradley Chiropractic, Pllc | Chiropractor | 432 Lake St, Fulton, KY 42041-1531 | 2013-08-20 |
| 1538505755 | Mallory K Bradley | Chiropractor | 432 Lake St., Fulton, KY 42041 | 2013-05-14 |
| 1740597616 | David L Stuber | Chiropractor | 362 Park Ave, Fulton, NY 13069-2420 | 2010-09-13 |
| 1871731588 | Amy K Green | Chiropractor | 308 Meadowlark Ln, Fulton, MO 65251-2458 | 2009-02-03 |
| 1194985267 | Koelling Family Chiropractic, PC | Chiropractor | 621 Commons Drive, Fulton, MO 65251-2650 | 2008-06-12 |
| 1821286394 | Tom M Kao | Chiropractor | 1104 4th St, Fulton, IL 61252-1718 | 2007-10-10 |
| 1316086804 | Community Chiropractic, P.C. | Chiropractor | 16 Canalview Mall, Fulton, NY 13069-1733 | 2007-02-05 |
| 1356488241 | Edvard Lc Gerega | Chiropractor | 1013 4th Street, Fulton, IL 61252-1715 | 2007-01-31 |
| Find all providers in FULTON | ||||
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| 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.