Provider Demographics
NPI:1629016910
Name:KELMAN, MICHAEL P (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:P
Last Name:KELMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3722 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
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF10000227111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor