Provider Demographics
NPI:1922353093
Name:KELLING, MELISSA ANN (DC)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:ANN
Last Name:KELLING
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:ANN
Other - Last Name:QUIRAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 715
Mailing Address - Street 2:
Mailing Address - City:DURANT
Mailing Address - State:IA
Mailing Address - Zip Code:52747
Mailing Address - Country:US
Mailing Address - Phone:563-785-6511
Mailing Address - Fax:563-785-6347
Practice Address - Street 1:902 5TH ST
Practice Address - Street 2:
Practice Address - City:DURANT
Practice Address - State:IA
Practice Address - Zip Code:52747-7735
Practice Address - Country:US
Practice Address - Phone:563-785-6511
Practice Address - Fax:563-785-6347
Is Sole Proprietor?:No
Enumeration Date:2012-07-16
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007556111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor