Kent Robert Kelley, D.C.
Individual provider Active NPI Chiropractor · Palmyra, PA
NPI 1801917422 · NPPES record last updated Jun 29, 2016
Key facts
- NPI
- 1801917422
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC-007466-L (PA)
- Practice address
- 128 E Main St
Palmyra, PA 17078-1734 - Phone
- (717) 832-2225
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-007466-L | PA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-007466-L | PA | Yes |
Addresses
Primary practice location
128 E Main St
Palmyra, PA 17078-1734
Mailing address
128 E Main St
Palmyra, PA 17078-1734
Phone (717) 838-3442
Other providers in Palmyra, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2016. 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.