Provider Demographics
NPI:1558420539
Name:KELMAN CHIROPRACTIC CENTER PA
Entity Type:Organization
Organization Name:KELMAN CHIROPRACTIC CENTER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:KELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:302-998-2060
Mailing Address - Street 1:3722 OLD CAPITOL TRL
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-6044
Mailing Address - Country:US
Mailing Address - Phone:302-998-2060
Mailing Address - Fax:302-998-6065
Practice Address - Street 1:3722 OLD CAPITOL TRL
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-6044
Practice Address - Country:US
Practice Address - Phone:302-998-2060
Practice Address - Fax:302-998-6065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty