Active NPI
Kellie Lynette Kulow, D.C.
- Chiropractor
- Brenham, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9361
- Practice address
- 218 E Main St
Brenham, TX 77833-3780 - Phone
- (979) 830-7055
- Fax
- (979) 836-8168
- NPI assigned
- Aug 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9361 | TX | Primary |
Addresses
Primary practice location
218 E Main St
Brenham, TX 77833-3780
Mailing address
218 E Main St
Brenham, TX 77833-3780
Phone (979) 830-7055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2305 Becker Dr
Suite F
Brenham, TX 77833-5700
Phone (979) 830-7055
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9361 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kulow Chiropractic & Wellness Center PLLC | Chiropractor | Current | Accepting new patients |
| La Grange Chiropractic Clinic PA | Chiropractor | Past | Accepting new patients |
| Legacy Physical Therapy and Wellness LLC | Past | Accepting new patients |
Locations
3855 Highway 36 N
Ste 103
Brenham, TX 77833
Phone (979) 830-7055
218 E Main St
Brenham, TX 77833
Phone (979) 830-7055
2305 Becker Dr
Ste F
Brenham, TX 77833
851 E Travis St
La Grange, TX 78945
Phone (979) 732-3900
464 E Guadalupe St
La Grange, TX 78945
Phone (979) 966-0601
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Brenham, TX
- NPI 1720385636
-
- Chiropractor
- La Grange, TX
- NPI 1194811364
-
- Physical Therapist
- Roanoke, TX
- NPI 1932748498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460937600000",
"number": "1043229032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 E MAIN ST",
"city": "BRENHAM",
"state": "TX",
"postal_code": "778333780",
"telephone_number": "979-830-7055",
"fax_number": "979-836-8168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 E MAIN ST",
"city": "BRENHAM",
"state": "TX",
"postal_code": "778333780",
"telephone_number": "979-830-7055",
"fax_number": "979-836-8168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULOW",
"first_name": "KELLIE",
"middle_name": "LYNETTE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2016-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brenham, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.