Provider Demographics
NPI:1619981610
Name:CONFER, KELLI S (DC)
Entity Type:Individual
Prefix:DR
First Name:KELLI
Middle Name:S
Last Name:CONFER
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 1:404 N 5TH ST
Mailing Address - Street 2:P.O. BOX 407
Mailing Address - City:RED OAK
Mailing Address - State:IA
Mailing Address - Zip Code:51566-2323
Mailing Address - Country:US
Mailing Address - Phone:712-623-3526
Mailing Address - Fax:712-623-6348
Practice Address - Street 1:404 N 5TH ST
Practice Address - Street 2:
Practice Address - City:RED OAK
Practice Address - State:IA
Practice Address - Zip Code:51566-2323
Practice Address - Country:US
Practice Address - Phone:712-623-3526
Practice Address - Fax:712-623-6348
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06364111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA231944OtherMIDLANDS CHOICE
IA24813OtherBCBS PROVIDER NUMBER
IA231944OtherMIDLANDS CHOICE
IAU79582Medicare UPIN