Kali Edwards, D.C.
Individual provider Active NPI Chiropractor · Lawrence, MI
NPI 1104257047 · NPPES record last updated Mar 27, 2017
Key facts
- NPI
- 1104257047
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- L2522797 (MI)
- Practice address
- 46980 48TH Ave
Lawrence, MI 49064 - Phone
- (269) 383-4325
- Fax
- (844) 272-9281
- NPI assigned
- Dec 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Upston Chiropractic Wellness Center PLLC
Practice addresses (Care Compare)
4200 W Michigan Ave
Suite 231
Kalamazoo, MI 49006-5892
Phone (269) 569-5621
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140410002307 | MI | Practitioner - Chiropractic | 6103058870 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2522797 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathryn Hafer LLC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | L2522797 | MI | Yes |
Addresses
Primary practice location
46980 48TH Ave
Lawrence, MI 49064
Mailing address
1122 S Westnedge Ave
Kalamazoo, MI 49008-1350
Phone (269) 383-4325
Other providers in Lawrence, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.