Provider Demographics
NPI:1164109237
Name:KARELS, IVY (DC)
Entity Type:Individual
Prefix:
First Name:IVY
Middle Name:
Last Name:KARELS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 DRIFTWOOD DR APT 303
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-1015
Mailing Address - Country:US
Mailing Address - Phone:507-514-3365
Mailing Address - Fax:
Practice Address - Street 1:130 NORMAN AVE S
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:MN
Practice Address - Zip Code:56329-8767
Practice Address - Country:US
Practice Address - Phone:320-968-6023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7126111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner