DR. KENT ROBERT KELLEY (NPI# 1801917422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801917422 |
| Entity Type | Individual |
| Full Name | DR. KENT ROBERT KELLEY |
| Credential | D.C. |
| Practice Address |
128 E Main St Palmyra PA 17078-1734 |
| Practice Telephone | 7178322225 |
| Mailing Telephone | 7178383442 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2016-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC-007466-L | PA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003449802 | Kent Ryan Kelley | Counselor | 306 Island Cir, Sarasota, FL 34242-1938 | 2020-02-20 |
| 1184774838 | Kent R Kelley | Specialist | 2300 N Childrens Plz # 29, Chicago, IL 60614-3363 | 2007-01-12 |
| Street Address |
128 E MAIN ST |
| City | PALMYRA |
| State | PA |
| Zip Code | 17078-1734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437404613 | Abundant Living Chiropractic, LLC | Chiropractor | 128 E Main St, Palmyra, PA 17078-1734 | 2012-07-13 |
| 1205957842 | Abundant Life Family Chiropractic, LLC | Chiropractor | 128 E Main St, Palmyra, PA 17078-1734 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558916239 | Lolita Feld | Family Medicine | 941 Park Drive, Palmyra, PA 17078 | 2019-08-08 |
| 1508384736 | Kelly Renee Black | Specialist/Technologist | 503 North Chestnut Street, Palmyra, PA 17078 | 2017-09-08 |
| 1174857643 | Jason John Castro | Occupational Therapist | 1273 South Forge Road, Palmyra, PA 17078 | 2009-09-30 |
| 1962694174 | Timothy Ryan Corl | Optometrist | 2901 Horseshoe Pike, Palmyra, PA 17078 | 2007-08-11 |
| 1740349216 | Ck Kc Inc | Pharmacy | 22 East Main Street, Palmyra Pharmacy & Gift Shop, Palmyra, PA 17078 | 2006-12-08 |
| 1396839742 | Khanh T. Bui | Pharmacist | 30 W. Main Street, Palmyra, PA 17078 | 2006-10-02 |
| 1548369028 | Ck-kc Ltc, Inc | Pharmacy | 1200 Grubb Street, Palmyra, PA 17078 | 2006-09-21 |
| 1669846507 | Kelly Christine Morris | Occupational Therapist | 2880 Horseshoe Pike, Palmyra, PA 17078 | 2015-11-16 |
| 1003287558 | Corl Eyecare, LLC | Optometrist | 2901 Horseshoe Pike, Palmyra, PA 17078 | 2015-10-09 |
| 1972727238 | Philhaven Residential | Psychiatric Residential Treatment Facility | 231 E Main St, Palmyra, PA 17078 | 2007-04-11 |
| Find all providers in zip 17078 | ||||
| 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 |
|---|---|---|---|---|
| 1548703820 | Michael Barker | Chiropractor | 126 S Grant St, Palmyra, PA 17078-2505 | 2016-11-18 |
| 1205268299 | Miranda J Doherty | Chiropractor | 43a Oxbow Rd, Palmyra, ME 04965 | 2013-08-01 |
| 1225322332 | Sarah A Moore | Chiropractor | 1200 W Royal Lee Dr, Palmyra, WI 53156 | 2011-06-06 |
| 1205023082 | Cathy A Crane | Chiropractor | 1211 Alderman Rd, Palmyra, NY 14522-9555 | 2007-09-26 |
| 1558407718 | Stephen Edward Lyons | Chiropractor | 1361 Mill Pond Way, Palmyra, PA 17078-3701 | 2007-01-29 |
| 1972659464 | Lake Chiropractic, PC | Chiropractor | 9 Centre Court, Palmyra, VA 22963-2329 | 2007-01-26 |
| 1881759926 | Kenneth W Leinweber | Chiropractor | 115 West Lafayette, Palmyra, MO 63461 | 2006-12-27 |
| 1073680385 | Mark Stephen Napoliello | Chiropractor | 829 Cinnaminson Ave, Palmyra, NJ 08065-2552 | 2006-11-29 |
| 1033282587 | Randy E Steinbrueck | Chiropractor | 322 W Ross St, Palmyra, MO 63461-1420 | 2006-11-15 |
| 1831260876 | Randall R Leanna | Chiropractor | 212 W. Main St, Palmyra, WI 53156-0250 | 2006-11-13 |
| Find all providers in PALMYRA | ||||
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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.