Kevin Michael Kelly, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR 1449 Issued in ME

Practice address

20 Summer St
Rockland, ME 04841-2918

Phone

(207) 594-0000

Fax

(207) 596-7131

NPI assigned

May 23, 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 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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 and National Provider Directory roles.

• Kelly Chiropractic Inc.

  • Chiropractor
  • Rockland, ME
  • NPI 1124620927
  Medicare reassignment NPD

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801006515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SUMMER ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412918",
            "telephone_number": "207-594-0000",
            "fax_number": "207-596-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SUMMER ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412918",
            "telephone_number": "207-594-0000",
            "fax_number": "207-596-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR 1449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187560000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maureen G. Kehoe, LCSW
• David Kelley, L.C.P.C.
• Jessica Kelley, NUTRITION THERAPIST
• Kelly Chiropractic Inc.
• Daniel James Kelly, LCSW
• Tina Kelly
• Annie G Kiermaier, LCSW
• Sydney Klein, M.S., CCC-SLP
• Kno-Wal-Lin Help at Home, Inc.
• Madeline Knowlton

• Chiropractor in Rockland, ME
• Providers in Rockland, ME by specialty
• Chiropractor in Maine

• 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.
• 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.