Douglass, Kelly T
Douglass, Kelly T is an individual health care provider with primary practice located at 3689 Watermelon Rd , Northport AL 35473-5139. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Douglass, Kelly T can be contacted via phone (205) 758-1600.Contact Information
Primary practice address
3689 Watermelon Rd
Northport AL 35473-5139
Phone: (205) 758-1600
Fax: (205) 758-6698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2508 | Tennessee |
| Chiropractic Providers / Chiropractor | 111N00000X | 2335 | Alabama |
Profile Details
| NPI number | 1275822074 |
|---|---|
| LBN Legal business name | Douglass, Kelly T |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2011 |
| Last updated | Aug 6th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275822074 | NPPES |
| Tennessee | Other | 4296256 | BCBS |
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