Keith Kinsley Chiropractic Incorporated

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3983 Issued in NC

Legal business name

KEITH KINSLEY CHIROPRACTIC INCORPORATED

Doing business as

Kelly Chiropractic Center

Practice address

346A Northeast Blvd
Clinton, NC 28328

Phone

(910) 592-1115

Fax

(910) 592-1541

NPI assigned

Jul 17, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Keith Steven Kinsley, D.C.

Title

Owner

Phone

(910) 592-1115

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kelly Chiropractic Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chad Garrett Kelly, D.C.

  • Chiropractor
  • Minot, ND
  • NPI 1245247626
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1114301215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1843",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283291843",
            "telephone_number": "910-592-1115",
            "fax_number": "910-592-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346A NORTHEAST BLVD",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "28328",
            "telephone_number": "910-592-1115",
            "fax_number": "910-592-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH KINSLEY CHIROPRACTIC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "KINSLEY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-592-1115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916173",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelly Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Joyner
• Lynn Bass Joyner, CFOM, CFTS
• Dalisha Judge, RBT
• Robert John Kastner, MD
• Deepakta Kaur
• Steven Dale Kelley, M.D.
• Freda Marie Kerr, CRNA
• Jessica Michelle King
• Keith S Kinsley, D.C.
• Corina Jazzlyn Knowles

• Chiropractor in Clinton, NC
• Providers in Clinton, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.