Kellie Wooten

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8574 Issued in TX

Legal business name

KELLIE WOOTEN

Practice address

102 Mosheim St
Seguin, TX 78155-4908

Phone

(830) 386-0340

NPI assigned

Jan 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kellie Raye Wooten, D.C.

Title

Owner

Phone

(830) 386-0340

Specialties & licenses 1

Addresses

Other names 1

• Kellie Jeffrey, D.C. Doing business as

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1982889093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MOSHEIM ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781554908",
            "telephone_number": "830-386-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MOSHEIM ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781554908",
            "telephone_number": "830-386-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLIE WOOTEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "WOOTEN",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_middle_name": "RAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-386-0340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kellie Jeffrey, D.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Juliar, APRN, FNP-C
• Karl R. Zarse, MD PLLC
• Joseph Terrence Kavanagh, M.D.
• Kaydar, Inc.
• Kendall Keel, MS CCC-SLP
• Bruce David Kennedy, M.D.
• Sarah Elizabeth Kennedy
• Misty Gale Kent, LPC
• Timothy Kent, ATC, LAT, CSCS
• Patricia Ann Kettler, R PH

• Chiropractor in Seguin, TX
• Providers in Seguin, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.