Active NPI
Kelly Christine Conn, DC
- Chiropractor
- Blair, NE
National Provider Identifier
1255014015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2171
- Practice address
- 924 Grant St
Blair, NE 68008-2153 - Phone
- (402) 426-0404
- NPI assigned
- Aug 9, 2023
- Last updated
- Aug 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2171 | NE | Primary |
Addresses
Primary practice location
924 Grant St
Blair, NE 68008-2153
Mailing address
PO Box 231
Blair, NE 68008-0231
Phone (312) 860-8445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1255014015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 231",
"city": "BLAIR",
"state": "NE",
"postal_code": "680080231",
"telephone_number": "312-860-8445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "924 GRANT ST",
"city": "BLAIR",
"state": "NE",
"postal_code": "680082153",
"telephone_number": "402-426-0404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONN",
"first_name": "KELLY",
"middle_name": "CHRISTINE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-09",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "2171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blair, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.