Doctor Name: | DR. KIMBERLYN KELLOGG |
NPI Number: | 1255483855 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | 2043 |
Business Practice Address: | 1535 W Northfield Blvd Suite 6 Murfreesboro, TN - 371291427 |
Business Phone Number: | 6158876868 |
Business Fax Number: | 6158497744 |
Mailing Address: | 5054 Tabitha St, MURFREESBORO |
State: | TN |
Postal Code: | 371292878 |
Phone Number: | 6158876868 |
Fax Number: | |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 06/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 2043 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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. |