KELLY CHIROPRACTIC, PLLC (NPI# 1881823730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881823730 |
| Entity Type | Organization |
| Organization Name | KELLY CHIROPRACTIC, PLLC |
| Practice Address |
8240 N Telegraph Rd Dearborn Heights MI 48127-1435 |
| Practice Telephone | 3137248638 |
| Practice Fax Number | 3137248926 |
| Mailing Telephone | 7342061895 |
| Mailing Fax Number | 3137248926 |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2013-09-27 |
| Authorized Official Name | DR. JENNIFER LYNN KELLY (CEO) |
| Authorized Official Telephone | 7342601895 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301009418 | MI | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265727390 | Kelly Chiropractic, Pllc | Chiropractor | 1006 5th St, #102, Coralville, IA 52241-2902 | 2011-06-16 |
| Street Address |
8240 N TELEGRAPH RD |
| City | DEARBORN HEIGHTS |
| State | MI |
| Zip Code | 48127-1435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396914388 | Jennifer Lynn Kelly | Chiropractor | 8240 N Telegraph Rd, Dearborn Heights, MI 48127-1435 | 2008-02-25 |
| 1962796870 | Back Wellness Center PC | Chiropractor | 8240 N Telegraph Rd, Dearborn Heights, MI 48127-1435 | 2011-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952945842 | Lashay Donnetta Byars Biles | Licensed Practical Nurse | 25639 Ford Rd., Dearborn Heights, MI 48127 | 2019-11-04 |
| 1174098982 | George Mousa Mufarreh | Specialist/Technologist, Other | 21630 Breechcrest St., Dearborn Heights, MI 48127 | 2018-10-08 |
| 1285110312 | Fastcaremd Urgent Care PC | Clinic/Center | 6012 N Vernon St, Dearborn Heights, MI 48127 | 2018-07-11 |
| 1356845689 | Wayne Medical Supply | Durable Medical Equipment & Medical Supplies | 26808 Simone St., Dearborn Hts., MI 48127 | 2018-03-21 |
| 1538516729 | Reliable Rehab LLC | Clinic/Center | 22101 W. Warren Ave, Dearborn Heights, MI 48127 | 2016-05-18 |
| 1407232739 | Tri-care Physical Therpay, LLC | Clinic/Center | 24100 W. Warren Ave, Dearborn Heights, MI 48127 | 2015-08-10 |
| 1083012322 | Golden Physical Therapy Pllc | Internal Medicine | 22243 West Warren St, Dearborn Heights, MI 48127 | 2014-12-19 |
| 1225448079 | Kristen Georgina-elizabeth Bogden | Occupational Therapist | 22241 Ann Arbor Trail, Dearborn Heights, MI 48127 | 2014-05-02 |
| 1306276183 | Qazi Healthcare | Family Medicine | 25150 Ford Rd, Ste 100, Dearborn Heights, MI 48127 | 2013-11-15 |
| 1497193957 | Keyyan Medical Pllc | Internal Medicine | 22239 West Warren Ave, Dearborn Heights, MI 48127 | 2013-06-06 |
| Find all providers in zip 48127 | ||||
| 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 |
|---|---|---|---|---|
| 1770034308 | Ashlea Raylene Clark | Chiropractor | 6569 N Evangeline St, Dearborn Heights, MI 48127-2030 | 2016-10-19 |
| 1679995401 | Mohamed Raychouni | Chiropractor | 22030 Ford Rd Ste B, Dearborn Heights, MI 48127-2418 | 2014-01-14 |
| 1174868467 | Radwan Khazaal | Chiropractor | 22030 Ford Rd, Suite B, Dearborn Heights, MI 48127-2418 | 2012-11-28 |
| 1144485715 | Kevin Delaney Kreger | Chiropractor | 23420 Ford Rd Ste 2, Dearborn Heights, MI 48127-2396 | 2008-07-23 |
| 1093985475 | Majed Hamadeh | Chiropractor | 6919 N. Waverly Street, Dearborn Heights, MI 48127 | 2008-03-03 |
| 1396914388 | Jennifer Lynn Kelly | Chiropractor | 8240 N Telegraph Rd, Dearborn Heights, MI 48127-1435 | 2008-02-25 |
| 1033267703 | Kenneth Hughes | Chiropractor | 25210 Ford Rd, Dearborn Heights, MI 48127-4818 | 2007-01-08 |
| 1407894843 | Glenn A Caudell | Chiropractor | 5928 N Telegraph Rd, Dearborn Heights, MI 48127-3221 | 2006-06-04 |
| 1316985567 | Naiel Salameh | Chiropractor | 22243 W Warren St, Dearborn Heights, MI 48127-2531 | 2006-06-02 |
| 1760431977 | Renee Irene Pethtel | Chiropractor | 23610 Van Born Rd, Dearborn Heights, MI 48125-2356 | 2006-05-08 |
| Find all providers in DEARBORN HEIGHTS | ||||
| City | DEARBORN HEIGHTS |
| Zip Code | 48127 |
Please comment or provide details below to improve the information on KELLY CHIROPRACTIC, PLLC.
| 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.