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KELLI DATRES
NPI 1245482520
Student in an Organized Health Care Education/Training Program in Williamsport, PA

Active since October 17, 2008
1031 BONAIR DRIVE, WILLIAMSPORT, PA 17701(570) 327-1098 Get Directions Write a Review

NPPES record last updated: October 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelli Datres NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLI DATRES (NPI 1245482520) is an individual student in an organized health care education/training program in Williamsport, Pennsylvania and active in the NPI registry since October 2008. She is a graduate of New York Chiropractic College (2009).

NPPES Registry Identity

NPI1245482520
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLI DATRES
Location Address1031 BONAIR DRIVEWilliamsport, PA 17701
Mailing Address1031 Bonair DriveWilliamsport, PA 17701
Phone(570) 327-1098
Sole ProprietorNo
Medical School CMSNew York Chiropractic CollegeGraduated 2009
Enumeration DateOctober 17, 2008
✔ NPI 1245482520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1031 BONAIR DRIVE, Williamsport, PA 17701
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelli Datres is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193866499
PECOS Enrollment IDI20100108000534

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
402 services49 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN MCCARTHY
Student in an Organized Health Care Education/Training Program
1031 BONAIR DRIVE
WILLIAMSPORT, PA 17701
Lycoming County (570) 916-9780

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelli Datres's NPI number?

The NPI number for Kelli Datres is 1245482520. It was assigned to this individual provider in the NPPES registry on October 17, 2008.

Where is Kelli Datres located?

Kelli Datres practices at 1031 Bonair Drive, Williamsport, PA 17701. The listed phone number is (570) 327-1098.

What is Kelli Datres's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kelli Datres enrolled in Medicare?

Yes. Kelli Datres is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelli Datres was last updated on October 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.