Doctor Name: | DR. KELLEY RENTON |
NPI Number: | 1427239599 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | CH 9375 |
Business Practice Address: | 8178 Navarre Pkwy Navarre, FL - 325666906 |
Business Phone Number: | 8509691066 |
Business Fax Number: | |
Mailing Address: | 5719 San Gabriel Dr, PENSACOLA |
State: | FL |
Postal Code: | 325048354 |
Phone Number: | 8505124592 |
Fax Number: | |
NPI Enumeration Date: | 11/16/2007 |
NPI Last Update Date: | 01/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH 9375 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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. |