Provider Demographics
NPI:1164146031
Name:KELLY, FRANKLIN MI'KAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:MI'KAEL
Last Name:KELLY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 COACH HOUSE CT
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-6666
Mailing Address - Country:US
Mailing Address - Phone:803-804-1923
Mailing Address - Fax:
Practice Address - Street 1:2034 CHERRY RD # 2
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-2627
Practice Address - Country:US
Practice Address - Phone:803-804-1923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4684111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor