Gwendolyn E Kelly-Kohnke, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4183 Issued in MN

Practice address

8421 Wayzata Blvd Ste 220
Golden Valley, MN 55426-1380

Phone

(763) 231-0143

NPI assigned

Jun 25, 2007

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 MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kelly Chiropractic, PA

  • Chiropractor
  • Golden Valley, MN
  • NPI 1639237969
  Medicare reassignment Authorized official
• Andrashko Chiropractic Plus PC

  • Chiropractor
  • Golden Valley, MN
  • NPI 1962690784
  NPD (past)

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1295931368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8421 WAYZATA BLVD STE 220",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261380",
            "telephone_number": "763-231-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8421 WAYZATA BLVD STE 220",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261380",
            "telephone_number": "763-231-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY-KOHNKE",
        "first_name": "GWENDOLYN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James W Keenan, MS, LP
• Janice Patricia Kehler, PT MSC MA
• Praful M. Kelkar, M.D.
• Jennifer Lee Kelley, MA, LPCC
• Kelly Chiropractic, PA
• Kelly-Norton Programs, Inc.
• Caroline Kelly, LPCC
• Susan Jane Kelly, D.C.
• Christine Kempke, PHARMD
• Levent Kenar, M.D.PH.D.

• Chiropractor in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.