Kellie Ann Seth, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5800 Issued in MN

Practice address

1903 Greeley St S Ste 100
Stillwater, MN 55082-6066

Phone

(651) 439-3737

Fax

(651) 439-3334

NPI assigned

Jun 5, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1346688991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 GREELEY ST S STE 100",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826066",
            "telephone_number": "651-439-3737",
            "fax_number": "651-439-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 GREELEY ST S STE 100",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826066",
            "telephone_number": "651-439-3737",
            "fax_number": "651-439-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETH",
        "first_name": "KELLIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.