Kenneth A Kelley, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

271343 Issued in OR

Practice address

639 W Main
Sheridan, OR 97378

Phone

(503) 843-3888

Fax

(503) 843-4366

NPI assigned

Feb 1, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

• Thunderstruck Farms Inc.

  • Chiropractor
  • Sheridan, OR
  • NPI 1689047680
  NPD

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902878333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "SHERIDAN",
            "state": "OR",
            "postal_code": "973780037",
            "telephone_number": "503-843-3888",
            "fax_number": "503-843-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 W MAIN",
            "city": "SHERIDAN",
            "state": "OR",
            "postal_code": "97378",
            "telephone_number": "503-843-3888",
            "fax_number": "503-843-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "KENNETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "271343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANENTE",
            "identifier": "112941",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Federal Correctional Institution Sheridan
• Andrew Barnes Grasley, MD
• Tina Hammond, DC
• Cheryl Ann Howell
• Robert J Keehner, RPH
• Kenneth G Mize Dmdpc
• Janice Jihee Kim, DDS
• Marie Louise Long, MD
• Amanda Mary Mehlhoff, FNP
• Kelly Lynn Menne

• Chiropractor in Sheridan, OR
• Providers in Sheridan, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.