Bernwart Kellner, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

159-0538-1084B Issued in NH

Practice address

11 Bridge CT
Keene, NH 03431-3519

Phone

(603) 352-3817

Fax

(603) 352-8701

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467501395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BRIDGE CT",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313519",
            "telephone_number": "603-352-3817",
            "fax_number": "603-352-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BRIDGE CT",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313519",
            "telephone_number": "603-352-3817",
            "fax_number": "603-352-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLNER",
        "first_name": "BERNWART",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "159-0538-1084B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "50Y141700NH01",
            "identifier": "ANTHEM",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2919716001",
            "identifier": "CIGNA",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30011098",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "T25823",
            "identifier": "HARVARD PILGRIM",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keene Vision Limited Partnership
• Douglas Woodruff Keene, M.D.
• Heather N Keese, CNM
• Amanda Keller
• Victoria L Keller, M.A., L.A.D.C.
• Elizabeth R Kelly, APRN
• Kaitlin M Kelly
• Emma Marie Kemp
• Patricia A Kendall
• Michael Keuroghlian, M.D.

• Chiropractor in Keene, NH
• Providers in Keene, NH by specialty
• Chiropractor in New Hampshire

• 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.