Dr. Angela D Kelly

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC007774-L Issued in PA

Legal business name

DR. ANGELA D KELLY

Doing business as

DBA: Northampton Wellness Institute, LLC

Practice address

4329 Easton Ave
Bethlehem, PA 18020-1431

Phone

(610) 868-6150

Fax

(610) 868-6152

NPI assigned

Mar 19, 2007

Last updated

Jun 16, 2008By 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

Dr. Angela D Kelly, DCNPI 1205899358

Title

Chiropractic Physician Owner

Phone

(610) 868-6150

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DBA: Northampton Wellness Institute, LLC Doing business as

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.

• Angela Dawn Kelly, D.C.

  • Chiropractor
  • Bethlehem, PA
  • NPI 1205899358
  NPD (past) Authorized official

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1982728549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4329 EASTON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180201431",
            "telephone_number": "610-868-6150",
            "fax_number": "610-868-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4329 EASTON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180201431",
            "telephone_number": "610-868-6150",
            "fax_number": "610-868-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ANGELA D KELLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN OWNER",
        "authorized_official_telephone_number": "610-868-6150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007774-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01973889",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA: Northampton Wellness Institute, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.