Kelly Lee Ketz, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

356 Issued in AK

Practice address

5905 Lake Otis Pkwy Ste B
Anchorage, AK 99507

Phone

(907) 562-5500

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ketz Chiropractic LLC

  • Chiropractor
  • Anchorage, AK
  • NPI 1871074773
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1164564415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 LAKE OTIS PKWY STE B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071700",
            "telephone_number": "907-562-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 LAKE OTIS PKWY STE B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99507",
            "telephone_number": "907-562-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETZ",
        "first_name": "KELLY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katy Violet Ketchum Smith, M.S.C.P.
• Linden Jane Ketchum, BA
• Corey Kettering
• Ashley Kettler, O.D.
• Ketz Chiropractic LLC
• Kevin M Easley DMD PC
• Kevin M Tomera MD Inc
• Keystone Chiropractic PC
• Galimat Khaidakova, MD
• Dawn M Khalil

• Chiropractor in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.