Doctor Name: | DR. MATTHEW THOMAS KELLY |
NPI Number: | 1194864298 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | CHIR008136 |
Business Practice Address: | 4035 Dixie Hwy Elsmere, KY - 410181813 |
Business Phone Number: | 8597276888 |
Business Fax Number: | |
Mailing Address: | 8861 Sentry Dr, FLORENCE |
State: | KY |
Postal Code: | 410428000 |
Phone Number: | 6788498767 |
Fax Number: | |
NPI Enumeration Date: | 02/05/2007 |
NPI Last Update Date: | 05/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CHIR008136 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
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. |