Provider Demographics
NPI:1013506302
Name:MELISSA KELLING PLLC
Entity Type:Organization
Organization Name:MELISSA KELLING PLLC
Other - Org Name:DURANT CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-785-6511
Mailing Address - Street 1:PO BOX 715
Mailing Address - Street 2:
Mailing Address - City:DURANT
Mailing Address - State:IA
Mailing Address - Zip Code:52747-0715
Mailing Address - Country:US
Mailing Address - Phone:563-785-6511
Mailing Address - Fax:563-785-5011
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:563-785-5011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-12
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty