Provider Demographics
NPI:1902009913
Name:KELLING CHIORPRACTIC CENTER
Entity Type:Organization
Organization Name:KELLING CHIORPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:KELLING
Authorized Official - Suffix:SR
Authorized Official - Credentials:DC
Authorized Official - Phone:816-628-6141
Mailing Address - Street 1:310 S PLATTE CLAY WAY STE A
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:MO
Mailing Address - Zip Code:64060-8797
Mailing Address - Country:US
Mailing Address - Phone:816-628-6141
Mailing Address - Fax:816-628-6541
Practice Address - Street 1:310 S PLATTE CLAY WAY STE A
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:MO
Practice Address - Zip Code:64060-8797
Practice Address - Country:US
Practice Address - Phone:816-628-6141
Practice Address - Fax:816-628-6541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty