Organization Active NPI

Kellington Chiropractic PLLC

  • Chiropractor
  • Prospect, KY
National Provider Identifier
1588824627
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5108 Issued in KY
Legal business name
KELLINGTON CHIROPRACTIC PLLC
Practice address
9557B US Highway 42
Prospect, KY 40059-9301
Phone
(502) 216-3334
NPI assigned
Jun 12, 2008
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dr. Rachel Clare Kellington, D.C.NPI 1174703292
Title
Owner
Phone
(502) 216-3334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5108 KY Primary

Addresses

Primary practice location

9557B US Highway 42
Prospect, KY 40059-9301

Mailing address

9557B US Highway 42
Prospect, KY 40059-9301
Phone (502) 216-3334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081121000364 KY Part B Supplier - Clinic/Group Practice 9032279997 Receives reassigned benefits from 1 practitioner
Practice locations: Prospect, KY

National Provider Directory

National Provider Directory

Locations

9557 US Highway 42
Ste B
Prospect, KY 40059
Phone (502) 216-3334

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1588824627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9557B US HIGHWAY 42",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400599301",
            "telephone_number": "502-216-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9557B US HIGHWAY 42",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400599301",
            "telephone_number": "502-216-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLINGTON CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "KELLINGTON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "CLARE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-216-3334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.