Provider Demographics
NPI:1922176700
Name:KELLENBERGER, ART (DC)
Entity Type:Individual
Prefix:DR
First Name:ART
Middle Name:
Last Name:KELLENBERGER
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 1:44 PITTSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08809-1209
Mailing Address - Country:US
Mailing Address - Phone:908-735-4086
Mailing Address - Fax:
Practice Address - Street 1:44 PITTSTOWN RD
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NJ
Practice Address - Zip Code:08809-1209
Practice Address - Country:US
Practice Address - Phone:908-735-4086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00193100111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ082310Medicare ID - Type Unspecified