Thornton, Kelly Renee

Thornton, Kelly Renee is an individual health care provider with primary practice located at 8194 Byron Center Ave Sw , Byron Center MI 49315-9401. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Thornton, Kelly Renee can be contacted via phone (616) 583-7810.

Contact Information

Primary practice address
8194 Byron Center Ave Sw Byron Center MI 49315-9401
Phone: (616) 583-7810
Fax: (616) 583-0150
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301008969 Michigan

Profile Details

NPI number 1780744292
LBN Legal business name Thornton, Kelly Renee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Feb 20th, 2008 - about 17 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 1780744292 NPPES
Michigan Other 950D114180 BLUE CROSS BLUE SHIELD
Michigan Other 202066577 BLUE CROSS BLUE SHIELD

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