Kelsey, Amanda
Kelsey, Amanda is an sole proprietor health care provider with primary practice located at 5705 Hadley Avenue , Oakdale MN 55128-1022. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Kelsey, Amanda can be contacted via phone (651) 538-4558.Contact Information
Primary practice address
5705 Hadley Avenue
Oakdale MN 55128-1022
Phone: (651) 538-4558
Fax: (866) 496-4047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4259 | Minnesota |
Profile Details
| NPI number | 1164405973 |
|---|---|
| LBN Legal business name | Kelsey, Amanda |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 25th, 2005 |
| Last updated | Jun 28th, 2023 - about 2 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 | 1164405973 | NPPES |
| Minnesota | Other | 100961 | HEALTH PARTNERS |
| Minnesota | Other | 56M14KE | HEALTH PARTNERS |
| Minnesota | MEDICAID | 318655500 | HEALTH PARTNERS |
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