Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN SCOTT KELLEY, DC
Active Sole ProprietorDR. BRIAN SCOTT KELLEY, DC is a Sports Physician (Chiropractor) healthcare provider located in BLOOMER, Wisconsin. NPI 1811994205 is currently active in the NPPES registry. Verify at CMS.
Sports Physician (Chiropractor) · BLOOMER, WI
Registration Details
- NPI Number
- 1811994205
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2005 (20.94168042536 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2014-012 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1503 LARSON STBLOOMER, WI, 547241632Browse WI providers · Browse ZIP 54724
- Phone
- 7155684220
- Fax
- 7155684201
- 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.