Provider Demographics
NPI:1467716266
Name:METZ, KELSEY MARIE (DC)
Entity Type:Individual
Prefix:MRS
First Name:KELSEY
Middle Name:MARIE
Last Name:METZ
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 1:525 MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:NEW BRIGHTON
Mailing Address - State:MN
Mailing Address - Zip Code:55112-3392
Mailing Address - Country:US
Mailing Address - Phone:651-797-4822
Mailing Address - Fax:651-796-0209
Practice Address - Street 1:525 MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:NEW BRIGHTON
Practice Address - State:MN
Practice Address - Zip Code:55112-3392
Practice Address - Country:US
Practice Address - Phone:651-797-4822
Practice Address - Fax:651-796-0209
Is Sole Proprietor?:No
Enumeration Date:2012-06-27
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5661111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor