Kelly Elizabeth Kane, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH13758 Issued in FL

Practice address

621 SE Port St Lucie Blvd
Port St Lucie, FL 34984-5141

Phone

(772) 879-8080

Fax

(772) 879-5808

NPI assigned

Jun 15, 2020

Last updated

May 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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 FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GCBABD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Back in Action Medical Center LLC

  • General Practice Physician
  • Palm City, FL
  • NPI 1093183733
  Medicare reassignment NPD
• Back in Action Medical Center LLC

  • Rehabilitation Clinic/Center
  • Palm City, FL
  • NPI 1225592603
  NPD
• M&R Wellness Center, LLC

  dba D/B/A Back in Action Chiropractic

  • Chiropractor
  • Port St Lucie, FL
  • NPI 1750774063
  NPD
• Nbctmh DC PLLC

  dba Horn Family Chiropractic

  • Chiropractor
  • Athens, PA
  • NPI 1407600273
  NPD (past)

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1265057392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349845141",
            "telephone_number": "772-879-8080",
            "fax_number": "772-879-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349845141",
            "telephone_number": "772-879-8080",
            "fax_number": "772-879-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas H. Kahn, DPM
• Anne Louise Kalb, PTA
• Jared Kaler
• Kamlesh P Pandya MD LLC (Oasis Pulmonary and Sleep Medicine)
• Deanna Marie Kane
• Anna B Kaplan, ARNP
• Roland D Kaplan, DO
• Steven M Kappler, M.D.
• Jessica Kaprive, DO
• Karachikitsa Medical PLLC

• Chiropractor in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.