Kelly, Grace Ann
Kelly, Grace Ann is an individual health care provider with primary practice located at 1440 5Th St Suite 1, Coralville IA 52241-1853. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Kelly, Grace Ann can be contacted via phone (319) 354-2468.Contact Information
Primary practice address
1440 5Th St Suite 1
Coralville IA 52241-1853
Phone: (319) 354-2468
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 06765 | Iowa |
| Chiropractic Providers / Chiropractor | 111N00000X | 38MC00617000 | New Jersey |
Profile Details
| NPI number | 1780658609 |
|---|---|
| LBN Legal business name | Kelly, Grace Ann |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | May 4th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780658609 | NPPES |
| Iowa | MEDICAID | 0470278 |
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