Kelly Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009418 Issued in MI

Legal business name

KELLY CHIROPRACTIC, PLLC

Practice address

8240 N Telegraph Rd
Dearborn Heights, MI 48127-1435

Phone

(313) 724-8638

Fax

(313) 724-8926

NPI assigned

Jul 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Lynn Kelly, D.C.NPI 1396914388

Title

Ceo

Phone

(734) 260-1895

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Lynn Kelly, D.C.

  • Chiropractor
  • Dearborn Heights, MI
  • NPI 1396914388
  Medicare reassignment NPD Authorized official
• James Joseph Woda, D.C

  • Chiropractor
  • Dearborn, MI
  • NPI 1609094424
  NPD (past)

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1881823730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 N TELEGRAPH RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271435",
            "telephone_number": "734-206-1895",
            "fax_number": "313-724-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 N TELEGRAPH RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271435",
            "telephone_number": "313-724-8638",
            "fax_number": "313-724-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-260-1895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lora Kawar, PA-C
• Aiman Kawas
• Deborah A Kay
• Randy Scott Kay
• Majde Mohammad Kekhia
• Jennifer Lynn Kelly, D.C.
• Ketaneh LLC
• Keyyan Medical PLLC (Ali Makki, M.D.)
• Sally Khalifa, D.O.
• Aliana Khalil

• Chiropractor in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.