KELLY M SVITAK DC, LLC (NPI# 1730495565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730495565 |
| Entity Type | Organization |
| Organization Name | KELLY M SVITAK DC, LLC |
| Practice Address |
1099 Milwaukee St Ste 240 Kirkwood MO 63122-7360 |
| Practice Telephone | 3148221502 |
| Practice Fax Number | 3148219889 |
| Mailing Telephone | 3148221502 |
| Mailing Fax Number | 3148219889 |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2010-08-31 |
| Authorized Official Name | DR. KELLY M SVITAK (CHIROPRACTOR) |
| Authorized Official Telephone | 7855875911 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
2010030123 | MO | Ambulatory Health Care Facilities |
| Street Address |
1099 MILWAUKEE ST STE 240 |
| City | KIRKWOOD |
| State | MO |
| Zip Code | 63122-7360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225352255 | Brandon Cory Steele | Chiropractor | 1099 Milwaukee St Ste 240, Kirkwood, MO 63122-7360 | 2010-03-19 |
| 1174031728 | Durkin Physical Medicine | Chiropractor | 1099 Milwaukee St Ste 240, Kirkwood, MO 63122-7360 | 2018-01-17 |
| 1770091688 | Daniel Patrick Durkin | Chiropractor | 1099 Milwaukee St Ste 240, Kirkwood, MO 63122-7360 | 2018-01-12 |
| 1588072219 | Laura Anne Mcateer | Chiropractor | 1099 Milwaukee St Ste 240, Kirkwood, MO 63122-7360 | 2014-07-25 |
| 1467744847 | Jason Gregory Biondo | Chiropractor | 1099 Milwaukee St Ste 240, Kirkwood, MO 63122-7360 | 2011-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1669071106 | Serenity Chiropractic, LLC | Clinic/Center | 2870 Ne Kendallwood Pkwy Ste B, Gladstone, MO 64119-2026 | 2020-10-24 |
| 1154931517 | Marvin Optometry, P.C. | Clinic/Center | 1405 S Hanley Rd Ste B, Saint Louis, MO 63144-2902 | 2020-07-31 |
| 1184242067 | Viola Marie Martin | Clinic/Center | 929 N Highway 71, Anderson, MO 64831-9753 | 2020-07-08 |
| 1497379358 | Innovative Occupational Therapy Solutions | Clinic/Center | 1044 Poplar Dr, Saint Louis, MO 63125-5022 | 2020-06-05 |
| 1366089443 | Gilligan Nutrition Counseling LLC | Clinic/Center | 10104 Conway Rd, Saint Louis, MO 63124-1240 | 2019-12-08 |
| 1063053445 | Jason T Vollmecke Dc LLC | Clinic/Center | 12500 E Us Highway 40 Ste K, Independence, MO 64055-5947 | 2019-10-07 |
| 1003469982 | Tms Institute of White Oak Psychiatry LLC | Clinic/Center | 4045 Ne Lakewood Way Ste 130a, Lees Summit, MO 64064-1799 | 2019-07-19 |
| 1053875716 | Columbia Health & Wellness Center, LLC | Clinic/Center | 3304 W Broadway Business Park Ct Ste I, Columbia, MO 65203-0109 | 2019-01-28 |
| 1518432996 | Rejuvenating Counseling Services LLC | Clinic/Center | 1305 Sw Pebble Ln, Lees Summit, MO 64082-4418 | 2018-10-11 |
| Find all providers with the same taxonomy | ||||
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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.