Provider Demographics
NPI:1710608211
Name:RAMEY, KELLI TAYLOR (DC)
Entity Type:Individual
Prefix:DR
First Name:KELLI
Middle Name:TAYLOR
Last Name:RAMEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:KELLI
Other - Middle Name:TAYLOR
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:619 E PARKWAY DR
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72801-4106
Mailing Address - Country:US
Mailing Address - Phone:479-868-7176
Mailing Address - Fax:479-858-7176
Practice Address - Street 1:619 E PARKWAY DR
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:AR
Practice Address - Zip Code:72801-4106
Practice Address - Country:US
Practice Address - Phone:479-868-7176
Practice Address - Fax:479-858-7176
Is Sole Proprietor?:No
Enumeration Date:2022-09-05
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR16362111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor