Kori Brynn Kelly, D. C.
Individual provider Active NPI Chiropractor · Bellville, TX
NPI 1497937684 · NPPES record last updated Nov 29, 2007
Key facts
- NPI
- 1497937684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 10326 (TX)
- Practice address
- 122 N Holland St
Bellville, TX 77418-1420 - Phone
- (979) 865-8709
- Fax
- (713) 864-7211
- NPI assigned
- Nov 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10326 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 10326 | TX | Yes |
Addresses
Primary practice location
122 N Holland St
Bellville, TX 77418-1420
Mailing address
122 N Holland St
Bellville, TX 77418-1420
Phone (979) 865-8709
Other providers in Bellville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.