Provider Demographics
NPI:1710961891
Name:CARELLA, FRANKLYN RALPH (DC)
Entity Type:Individual
Prefix:
First Name:FRANKLYN
Middle Name:RALPH
Last Name:CARELLA
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 1:180 NE 72ND ST
Mailing Address - Street 2:
Mailing Address - City:GLADSTONE
Mailing Address - State:MO
Mailing Address - Zip Code:64118-1825
Mailing Address - Country:US
Mailing Address - Phone:816-436-4369
Mailing Address - Fax:816-436-4300
Practice Address - Street 1:180 NE 72ND ST
Practice Address - Street 2:
Practice Address - City:GLADSTONE
Practice Address - State:MO
Practice Address - Zip Code:64118-1825
Practice Address - Country:US
Practice Address - Phone:816-436-4369
Practice Address - Fax:816-436-4300
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO003436111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor