Jennifer Lynn Kelly, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009418 Issued in MI

Practice address

8240 N Telegraph Rd
Dearborn Heights, MI 48127-1435

Phone

(313) 724-8638

Fax

(313) 724-8926

NPI assigned

Feb 25, 2008

Last updated

Nov 12, 2018By 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

Other names 1

• Jennifer Lynn Debuck Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kelly Chiropractic, PLLC

  • Chiropractor
  • Dearborn Heights, MI
  • NPI 1881823730
  Medicare reassignment NPD Authorized official
• Back Wellness Center PC

  • Chiropractor
  • Dearborn, MI
  • NPI 1962796870
  NPD (past)

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1396914388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 WASHINGTON ST",
            "address_2": "STE 2",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242016",
            "telephone_number": "734-260-1895",
            "fax_number": "313-724-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 N TELEGRAPH RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271435",
            "telephone_number": "313-724-8638",
            "fax_number": "313-724-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DEBUCK",
            "middle_name": "LYNN",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aiman Kawas
• Deborah A Kay
• Randy Scott Kay
• Majde Mohammad Kekhia
• Kelly Chiropractic, PLLC
• Ketaneh LLC
• Keyyan Medical PLLC (Ali Makki, M.D.)
• Sally Khalifa, D.O.
• Aliana Khalil
• Ghadir Khalil

• Chiropractor in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.