Provider Demographics
NPI:1821035833
Name:KELLY, DARLA KAY (DC)
Entity type:Individual
Prefix:DR
First Name:DARLA
Middle Name:KAY
Last Name:KELLY
Suffix:
Gender:F
Credentials:DC
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Mailing Address - Street 1:1750 NORTHWEST HWY
Mailing Address - Street 2:SUITE 250A
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75041-5284
Mailing Address - Country:US
Mailing Address - Phone:972-270-5333
Mailing Address - Fax:972-270-5335
Practice Address - Street 1:1750 NORTHWEST HWY
Practice Address - Street 2:SUITE 250A
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041-5284
Practice Address - Country:US
Practice Address - Phone:972-270-5333
Practice Address - Fax:972-270-5335
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX10312111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1700984796Medicare PIN