Provider Demographics
NPI:1285689281
Name:KARLSSON, KELLY JUNE (DC)
Entity Type:Individual
Prefix:DR
First Name:KELLY
Middle Name:JUNE
Last Name:KARLSSON
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 1:8734 STELLA LINK RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-3402
Mailing Address - Country:US
Mailing Address - Phone:713-592-5650
Mailing Address - Fax:713-592-8385
Practice Address - Street 1:6601 HILLCROFT ST
Practice Address - Street 2:#100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-4888
Practice Address - Country:US
Practice Address - Phone:713-270-0077
Practice Address - Fax:713-270-0102
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9517111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX608033OtherBC/BS
TX666168OtherUHC