Provider Demographics
NPI:1669989299
Name:KELBEL, JOSEPH KEVIN (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:KEVIN
Last Name:KELBEL
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 1:6138 MINERAL POINT RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-4458
Mailing Address - Country:US
Mailing Address - Phone:608-620-4434
Mailing Address - Fax:
Practice Address - Street 1:6138 MINERAL POINT RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705-4458
Practice Address - Country:US
Practice Address - Phone:608-620-4434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-04
Last Update Date:2018-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5313-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor