Provider Demographics
NPI:1427394907
Name:LUNT, KELSEY A (DC)
Entity Type:Individual
Prefix:DR
First Name:KELSEY
Middle Name:A
Last Name:LUNT
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 1:4332 BUFFALO RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHILI
Mailing Address - State:NY
Mailing Address - Zip Code:14514-1260
Mailing Address - Country:US
Mailing Address - Phone:585-594-0026
Mailing Address - Fax:585-594-0032
Practice Address - Street 1:4332 BUFFALO RD
Practice Address - Street 2:
Practice Address - City:NORTH CHILI
Practice Address - State:NY
Practice Address - Zip Code:14514-1260
Practice Address - Country:US
Practice Address - Phone:585-594-0026
Practice Address - Fax:585-594-0032
Is Sole Proprietor?:No
Enumeration Date:2013-01-02
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012271-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor