Kelly Nicole Buchholz, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1977 Issued in TN

Practice address

1410 Kensington Square CT
Suite 102
Murfreesboro, TN 37130-6902

Phone

(615) 217-8624

NPI assigned

Mar 15, 2007

Last updated

Jul 8, 2007By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Laser Therapy & Chiropractic Center, Inc

  • Chiropractor
  • Murfreesboro, TN
  • NPI 1124217740
  Authorized official Same address or phone

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386778157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 JOE B JACKSON PKWY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371277109",
            "telephone_number": "615-796-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 KENSINGTON SQUARE CT",
            "address_2": "SUITE 102",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371306902",
            "telephone_number": "615-217-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHHOLZ",
        "first_name": "KELLY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "1977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tisa Lacole Bryles
• Kelly Stephens Bryson, OTRL
• Reagan Brianna Bryson, RBT
• Taraica Bryson
• William Bucher, MD
• Theresa Maxine Buck, FNP-BC
• Lindsey Buckholz
• Kathleen Buckner
• Timothy Buckner, PHARMD
• Jaqushia Buddie

• Chiropractor in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.