Kevin M Kelly Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC17725 Issued in CA

Legal business name

KEVIN M KELLY CHIROPRACTIC INC

Practice address

15901 Hawthorne Blvd
Suite 420
Lawndale, CA 90260-2655

Phone

(310) 214-9555

NPI assigned

Mar 23, 2012

Last updated

Mar 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Michael Kelly, DCNPI 1083874846

Title

Ceo

Phone

(805) 496-6104

Specialties & licenses 1

Addresses

Locations

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.

• Kevin Michael Kelly, DC

  • Chiropractor
  • Lawndale, CA
  • NPI 1083874846
  NPD (past) Authorized official

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1922374958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15901 HAWTHORNE BLVD",
            "address_2": "SUITE 420",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902602655",
            "telephone_number": "310-214-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15901 HAWTHORNE BLVD",
            "address_2": "SUITE 420",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902602655",
            "telephone_number": "310-214-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN M KELLY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-496-6104",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC17725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Louis Kaufman
• Katelyn Kcomt, DDS
• Matthew Keener, PA-C
• Kevin Michael Kelly, DC
• Beverly Jean Ketchum, C.P.D. C.L.D.
• Mahnoor Khan
• Rostam Khoshsar, MD
• Rebecca Argentina Kim, M.A., CCC-SLP
• Steve Kim, PHARMD
• Krista King, PT

• Chiropractor in Lawndale, CA
• Providers in Lawndale, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.