Kellen, Kelly Marie

Kellen, Kelly Marie is an individual health care provider with primary practice located at 1853 51St St Ne Ste 2 , Cedar Rapids IA 52402-2407. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Kellen, Kelly Marie can be contacted via phone (319) 249-1909.

Contact Information

Primary practice address
1853 51St St Ne Ste 2 Cedar Rapids IA 52402-2407
Phone: (319) 249-1909
Fax: (319) 249-1908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X A05868 Iowa

Profile Details

NPI number 1639161888
LBN Legal business name Kellen, Kelly Marie
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Apr 15th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639161888 NPPES
Iowa Other 50839 BCBS
Iowa MEDICAID 0133272 BCBS

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