Provider Demographics
NPI:1134420441
Name:KELLINS, HERBERT (DC)
Entity type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:
Last Name:KELLINS
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 1:3309 FOREST CREEK DR UNIT 302
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-6168
Mailing Address - Country:US
Mailing Address - Phone:512-436-8500
Mailing Address - Fax:512-648-2626
Practice Address - Street 1:2001 LONG CV
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-6224
Practice Address - Country:US
Practice Address - Phone:408-316-0149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-03
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14135111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor