Kelly Denamur, D.C.

Individual provider Active NPI Chiropractor · Asheboro, NC

NPI 1184748477 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1184748477
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
2370 (NC)
Practice address
414 N Fayetteville St
Asheboro, NC 27203-4727
Phone
(336) 633-3030
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2370NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Denamur Chiropractic Center Past
since Jan 1, 1998
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2370 NC Yes

Addresses

Primary practice location

414 N Fayetteville St
Asheboro, NC 27203-4727

Mailing address

869 Anns CT
Asheboro, NC 27205-7729
Phone (336) 636-5599

Other identifiers

IdentifierTypeStateIssuer
890840WMedicaidNC
0840WOtherNCBCBS OF NC

Other providers in Asheboro, NC

All providers in Asheboro, NC · Chiropractor in North Carolina

Sources for this page

Verify at the official NPI Registry.