Burwell, Kelly Jean

Burwell, Kelly Jean is an individual health care provider with primary practice located at 664 Sango Rd , Clarksville TN 37043-5489. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Burwell, Kelly Jean can be contacted via phone (931) 368-1996.

Contact Information

Primary practice address
664 Sango Rd Clarksville TN 37043-5489
Phone: (931) 368-1996
Fax: (931) 368-0448
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC795 Tennessee

Profile Details

NPI number 1629145826
LBN Legal business name Burwell, Kelly Jean
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629145826 NPPES
Tennessee Other 133736 BLUE CROSS BLUE SHIELD

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