Kelly Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

KELLY CHIROPRACTIC INC.

Practice address

20 Summer St
Rockland, ME 04841-2918

Phone

(207) 594-0000

Fax

(207) 593-7131

NPI assigned

Nov 16, 2020

Organization subpart

No

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

Authorized official

Name

Gabrielle R Camire

Title

Office Manager

Phone

(207) 594-0000

Specialties & licenses 1

Addresses

Other names 1

• Kelly Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 1

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

• Kevin Michael Kelly, D.C.

  • Chiropractor
  • Rockland, ME
  • NPI 1801006515
  Medicare reassignment NPD

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1124620927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SUMMER ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412918",
            "telephone_number": "207-594-0000",
            "fax_number": "207-593-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SUMMER ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412918",
            "telephone_number": "207-594-0000",
            "fax_number": "207-593-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "CAMIRE",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "207-594-0000"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelly Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonathan Jones, RPH
• Lynne B Kaplinsky, MD
• Maureen G. Kehoe, LCSW
• David Kelley, L.C.P.C.
• Jessica Kelley, NUTRITION THERAPIST
• Daniel James Kelly, LCSW
• Kevin Michael Kelly, D.C.
• Tina Kelly
• Annie G Kiermaier, LCSW
• Sydney Klein, M.S., CCC-SLP

• Chiropractor in Rockland, ME
• Providers in Rockland, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.