Provider Demographics
NPI:1558428136
Name:HELMENDACH, KELLEY GRAHAM (DC)
Entity Type:Individual
Prefix:MRS
First Name:KELLEY
Middle Name:GRAHAM
Last Name:HELMENDACH
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 1:7215 LEBANON RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:MINT HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28227-9026
Mailing Address - Country:US
Mailing Address - Phone:704-573-7161
Mailing Address - Fax:704-573-3799
Practice Address - Street 1:7215 LEBANON RD STE A
Practice Address - Street 2:A
Practice Address - City:MINT HILL
Practice Address - State:NC
Practice Address - Zip Code:28227-9027
Practice Address - Country:US
Practice Address - Phone:704-573-7161
Practice Address - Fax:704-573-3799
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1834111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor