Provider Demographics
NPI:1407985658
Name:ALANA, KELLY D (DC)
Entity Type:Individual
Prefix:MR
First Name:KELLY
Middle Name:D
Last Name:ALANA
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:PO BOX 515522
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-5522
Mailing Address - Country:US
Mailing Address - Phone:214-363-5020
Mailing Address - Fax:214-363-5701
Practice Address - Street 1:11333 N CENTRAL EXPY
Practice Address - Street 2:SUITE 111
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-6706
Practice Address - Country:US
Practice Address - Phone:214-363-5020
Practice Address - Fax:214-363-5701
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC7822111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor