Provider Demographics
NPI:1437625589
Name:KERLEY CLINIC OF CHIROPRACTIC, INC
Entity Type:Organization
Organization Name:KERLEY CLINIC OF CHIROPRACTIC, INC
Other - Org Name:KERLEY CLINIC OF CHIROPRACTIC, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KERLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-392-4445
Mailing Address - Street 1:748 COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDER CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35010-2660
Mailing Address - Country:US
Mailing Address - Phone:256-392-4445
Mailing Address - Fax:
Practice Address - Street 1:748 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:ALEXANDER CITY
Practice Address - State:AL
Practice Address - Zip Code:35010-2660
Practice Address - Country:US
Practice Address - Phone:256-392-4445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-16
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty