DR. KELLY MARIE KELLEN (NPI# 1639161888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639161888 |
| Entity Type | Individual |
| Full Name | DR. KELLY MARIE KELLEN |
| Credential | DC |
| Practice Address |
1350 Boyson Rd Bldg C Hiawatha IA 52233-2211 |
| Practice Telephone | 3193930086 |
| Practice Fax Number | 3192940700 |
| Mailing Telephone | 3193930086 |
| Mailing Fax Number | 3192940700 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2010-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | A05868 | IA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BCBS | 50839 | 01 |
| IA | 0133272 | 05 |
| Street Address |
1350 BOYSON RD BLDG C |
| City | HIAWATHA |
| State | IA |
| Zip Code | 52233-2211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124010376 | Chiropractic Solutions PC | Chiropractor | 1350 Boyson Rd, Bldg C, Hiawatha, IA 52233-2211 | 2005-08-15 |
| 1134695182 | Pillar Health, LLC | Family Medicine | 1350 Boyson Rd, Bldg D Ste 3, Hiawatha, IA 52233-5223 | 2018-10-17 |
| 1619350923 | Exceptional Health Solutions, Plc | Clinic/Center | 1350 Boyson Rd, Building D, Suite 1, Hiawatha, IA 52233-2211 | 2015-07-06 |
| 1215345905 | Family Medicine and More, Plc | Clinic/Center | 1350 Boyson Rd, Bldg C, Hiawatha, IA 52233-2211 | 2014-07-26 |
| 1083054720 | Kevin G. Witt, Dds Plc | Clinic/Center | 1350 Boyson Rd, Hiawatha, IA 52233-2211 | 2013-06-26 |
| 1912972688 | Brian Robert Dvorak | Podiatrist | 1350 Boyson Rd, Suite #d3, Hiawatha, IA 52233-2211 | 2006-02-17 |
| 1417921230 | Eastern Iowa Foot Specialists P.C. | Podiatrist | 1350 Boyson Rd, Suite #d3, Hiawatha, IA 52233-2211 | 2006-02-16 |
| 1013900398 | Daniel Williams Kellen | Chiropractor | 1350 Boyson Rd, Bldg C, Hiawatha, IA 52233-2211 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336707249 | Jenna Haganman | Dentist | 1090 Sherman Rd, Hiawatha, IA 52233 | 2019-06-05 |
| 1548771629 | Alicia Means | Counselor | 1811 Boyson Rd Ste A, Hiawatha, IA 52233 | 2017-10-17 |
| 1740732270 | Pamela Jean Severson | Counselor | 1350 Boyson Rd Ste D2, Hiawatha, IA 52233 | 2016-11-01 |
| 1902174006 | Excel Chiropractic and Rehab PC | Chiropractor | 1625 Boyson Rd., Suite 104, Hiawatha, IA 52233 | 2011-12-05 |
| 1992099055 | Ross Robert Hausmann | Chiropractor | 1625 Boyson Rd Ste 104, Hiawatha, IA 52233 | 2011-06-07 |
| 1669605937 | Wickwire Chiropractic and Wellness Center P.C. | Chiropractor | 1690 Blairs Ferry Rd, Hiawatha, IA 52233 | 2009-09-02 |
| 1861622292 | Lee Adam Wickwire | Chiropractor | 1690 Blairs Ferry Road, Hiawatha, IA 52233 | 2009-07-20 |
| 1619127388 | Kara Charlotte Gillund | Physical Therapist | 400 Blairsferry Crossing, Hiawatha, IA 52233 | 2008-09-30 |
| 1316105265 | Stephen Edwin Broad | Dentist | 1055 North Center Point Road, Hiawatha, IA 52233 | 2008-05-28 |
| 1699820597 | City of Hiawatha | Ambulance | 60 10th Avenue, Hiawatha, IA 52233 | 2007-01-24 |
| Find all providers in zip 52233 | ||||
| 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 |
|---|---|---|---|---|
| 1710455068 | Zackery Vandenhout | Chiropractor | 655 N Center Point Rd, Hiawatha, IA 52233-1223 | 2018-11-05 |
| 1215323316 | Hannah Jo Anderson | Chiropractor | 99 N Center Point Rd, Hiawatha, IA 52233-1401 | 2015-04-15 |
| 1902174006 | Excel Chiropractic and Rehab PC | Chiropractor | 1625 Boyson Rd., Suite 104, Hiawatha, IA 52233 | 2011-12-05 |
| 1992099055 | Ross Robert Hausmann | Chiropractor | 1625 Boyson Rd Ste 104, Hiawatha, IA 52233 | 2011-06-07 |
| 1669605937 | Wickwire Chiropractic and Wellness Center P.C. | Chiropractor | 1690 Blairs Ferry Rd, Hiawatha, IA 52233 | 2009-09-02 |
| 1669603254 | Back In Line Family Chiropractic and Wellness, P.C. | Chiropractor | 102 A Ave, Hiawatha, IA 52233-1504 | 2009-07-31 |
| 1861622292 | Lee Adam Wickwire | Chiropractor | 1690 Blairs Ferry Road, Hiawatha, IA 52233 | 2009-07-20 |
| 1629208467 | Calla Jayne Henning Kleene | Chiropractor | 99 North Center Point Road, Hiawatha, IA 52233-1401 | 2009-07-14 |
| 1962510230 | Michelle Nelson Chiropractic Inc | Chiropractor | 698 Boyson Rd Ste B, Hiawatha, IA 52233-1216 | 2006-08-28 |
| 1932170867 | Christopher T Sherman | Chiropractor | 1375 N Center Point Rd, Hiawatha, IA 52233-1239 | 2006-01-30 |
| Find all providers in HIAWATHA | ||||
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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.