Provider Demographics
NPI:1225506231
Name:ENGLISH, KELSIE ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:KELSIE
Middle Name:ANN
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:KELSIE
Other - Middle Name:ANN
Other - Last Name:MYERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:412 PONCE DE LEON DR STE B
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS VILLAGE
Mailing Address - State:AR
Mailing Address - Zip Code:71909-8121
Mailing Address - Country:US
Mailing Address - Phone:501-915-9800
Mailing Address - Fax:501-915-9806
Practice Address - Street 1:412 PONCE DE LEON DR STE B
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS VILLAGE
Practice Address - State:AR
Practice Address - Zip Code:71909-8121
Practice Address - Country:US
Practice Address - Phone:501-915-9800
Practice Address - Fax:501-915-9806
Is Sole Proprietor?:No
Enumeration Date:2018-11-07
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK179964111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor