Doctor Name: | DR. KELLY THOMPSON |
NPI Number: | 1003040247 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 5215 |
Business Practice Address: | 327 13th St S Suite 110 Delano, MN - 553289404 |
Business Phone Number: | 7639723447 |
Business Fax Number: | 7639723734 |
Mailing Address: | 327 13th St S, Suite 110 DELANO |
State: | MN |
Postal Code: | 553289404 |
Phone Number: | 7639723447 |
Fax Number: | 7639723734 |
NPI Enumeration Date: | 05/01/2009 |
NPI Last Update Date: | 12/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 5215 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |