KELLY CHIROPRACTIC CLINIC, LLC (NPI# 1760082705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760082705 |
| Entity Type | Organization |
| Organization Name | KELLY CHIROPRACTIC CLINIC, LLC |
| Practice Address |
3179 12 Mile Rd Berkley MI 48072-1339 |
| Practice Telephone | 7732514006 |
| Mailing Telephone | 7732514006 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | DR. STEPHANIE JOSEPHINE KELLY (SOLE OWNER) |
| Authorized Official Telephone | 7732514006 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Berkley Chiropractic | Doing Business As Name - Organization |
| Street Address |
3179 12 MILE RD |
| City | BERKLEY |
| State | MI |
| Zip Code | 48072-1339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336759539 | Embodied Wellness, Pllc | Counselor | 1354 Harvard Rd, Berkley, MI 48072 | 2020-08-03 |
| 1790202224 | Medcrafters Rx Pharmacy LLC | Pharmacy | 3348 W 12 Mile Rd, Berkley, MI 48072 | 2017-08-25 |
| 1144684861 | Marilyn Ann Hawkins | Registered Nurse | 2766 West 11 Mile Rd., Beckley, MI 48072 | 2016-04-08 |
| 1134547862 | Rimma Polevoy | Internal Medicine | 1949 12 Mile Rd Ste 100, Berkley, MI 48072 | 2014-03-31 |
| 1245676212 | Chelsea Peraino Smoots | Social Worker | 892 11 Mile Rd, Berkley, MI 48072 | 2013-05-17 |
| 1770730483 | Bryce Paul Roekle | Counselor | 1799 Phillips Avenue, Berkley, MI 48072 | 2008-08-25 |
| 1003003617 | Oakland Family Services | Community/Behavioral Health | 2351 West 12 Mile Road, Berkley, MI 48072 | 2007-09-27 |
| 1063605012 | Care Plus Home Health Services, Inc | Home Health | 28139 Woodward Ave, Berkley, MI 48072 | 2007-08-23 |
| 1346370020 | David Jason Carpenter | Social Worker | 2345 West 12 Mile Road, Berkley, MI 48072 | 2007-03-06 |
| 1871674192 | Robert Igwe | Internal Medicine | 1949 West Twelve Mile Rd, Ste 200, Berkley, MI 48072 | 2006-10-17 |
| Find all providers in zip 48072 | ||||
| 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 |
|---|---|---|---|---|
| 1679749105 | Gill Chiropractic Center Inc. | Chiropractor | 3179 W 12 Mile Rd, Berkley, MI 48072-1339 | 2008-05-05 |
| 1255540050 | Richard William Larned | Chiropractor | 2965 12 Mile Rd Ste 200, Berkley, MI 48072-1436 | 2007-05-21 |
| 1154477867 | Theresa Marie Pigott | Chiropractor | 2301 Coolidge Hwy, Berkley, MI 48072-1550 | 2007-01-26 |
| 1134289523 | Howard Irwin Manela | Chiropractor | 28817 Woodward Ave, Berkley, MI 48072-0915 | 2006-12-08 |
| 1033279427 | Royal Oak Chiropractic Clinic P C | Chiropractor | 28817 Woodward Ave Ste 5, Berkley, MI 48072-0915 | 2006-12-08 |
| 1649280108 | Jeff Allyn | Chiropractor | 2745 Coolidge Hwy, Berkley, MI 48072-1556 | 2006-08-08 |
| 1437170883 | Franklin Mark Reegen | Chiropractor | 27701 Woodward Avenue, Berkley, MI 48072 | 2006-07-21 |
| 1225029382 | Christophe Brundage Dean | Chiropractor | 28931 Woodward Ave, Berkley, MI 48072-0923 | 2005-10-28 |
| 1891932273 | Jonathan Gifford Dean | Chiropractor | 28931 Woodward Ave, Berkley, MI 48072-0923 | 2009-01-07 |
| 1922297548 | Dean Chiropractic Life Center PC | Chiropractor | 28931 Woodward Ave, Berkley, MI 48072-0923 | 2007-10-19 |
| Find all providers in BERKLEY | ||||
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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.