Doctor Name: | KELLI S. MASON |
NPI Number: | 1205828845 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | 2438 |
Business Practice Address: | 11068 Asheville Hwy Ste. B-17 Inman, SC - 293495805 |
Business Phone Number: | 8644731083 |
Business Fax Number: | |
Mailing Address: | 68 Global Dr, Suite 100 GREENVILLE |
State: | SC |
Postal Code: | 296074628 |
Phone Number: | 8646442700 |
Fax Number: | 8646442709 |
NPI Enumeration Date: | 08/19/2005 |
NPI Last Update Date: | 10/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 2438 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
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. |