Kelly, Krista C

Kelly, Krista C is an individual health care provider with primary practice located at 1415 2Nd Ave Sw , Minot ND 58701-3629. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Kelly, Krista C can be contacted via phone (701) 837-5733.

Contact Information

Primary practice address
1415 2Nd Ave Sw Minot ND 58701-3629
Phone: (701) 837-5733
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 762 North Dakota

Profile Details

NPI number 1750351144
LBN Legal business name Kelly, Krista C
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Oct 31st, 2008 - about 16 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 1750351144 NPPES
North Dakota MEDICAID 13528

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