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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JUSTIN KELLY, DC

Active Sole Proprietor

DR. JUSTIN KELLY, DC is a Sports Physician (Chiropractor) healthcare provider located in ST. LOUIS, Missouri. NPI 1427520634 is currently active in the NPPES registry. Verify at CMS.

Sports Physician (Chiropractor) · ST. LOUIS, MO

Registration Details

NPI Number
1427520634
Provider Type
Individual
Gender
Male
NPI Issued
Dec 28, 2018 (7.4459102220309 yrs)
Last Updated
Dec 28, 2018
License
111NS0005X (MO)
Sole Proprietor
Yes

Practice Information

Address
8011 MARYLAND AVENUE
ST. LOUIS, MO, 63105
Browse MO providers · Browse ZIP 63105
Phone
9896194839
Primary Specialty
Sports Physician (Chiropractor)
111NS0005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.