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DR. GWENDOLYN E KELLY-KOHNKE DC
NPI 1295931368
Chiropractor in Golden Valley, MN

Active since June 25, 2007
8421 WAYZATA BLVD STE 220, GOLDEN VALLEY, MN 55426(763) 231-0143 Get Directions Write a Review

NPPES record last updated: November 1, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Gwendolyn E Kelly-kohnke Dc NPPES

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

DR. GWENDOLYN E KELLY-KOHNKE DC (NPI 1295931368) is an individual chiropractor in Golden Valley, Minnesota, licensed in Minnesota (4183) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1295931368
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. GWENDOLYN E KELLY-KOHNKECredential: DC
Location Address8421 WAYZATA BLVD STE 220Golden Valley, MN 55426-1380
Mailing Address8421 Wayzata Blvd Ste 220Golden Valley, MN 55426-1380 · (763) 231-0143
Phone(763) 231-0143
Sole ProprietorNo
Enumeration DateJune 25, 2007
Last NPPES UpdateNovember 1, 2010
✔ NPI 1295931368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 4183
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
8421 WAYZATA BLVD STE 220, Golden Valley, MN 55426
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Other Identifiers 1

Medicare ID-Type Unspecified350003072MN · Medicare Provider Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gwendolyn E Kelly-kohnke Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Gwendolyn Kelly-kohnke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kelly Chiropractic, PA
Same address
Chiropractor
8421 WAYZATA BLVD. SUITE 220
Golden Valley, MN 55426
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1639237969 (763) 231-0143

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

TRACEY LORRAINE WIEGEL CMT
Massage Therapist
8421 WAYZATA BLVD STE 220
GOLDEN VALLEY, MN 55426
Hennepin County (763) 458-5875
ANDRASHKO CHIROPRACTIC PLUS PC
Chiropractor
8421 WAYZATA BLVD STE 220
GOLDEN VALLEY, MN 55426
Hennepin County (952) 253-3880

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 Gwendolyn Kelly-kohnke's NPI number?

The NPI number for Gwendolyn Kelly-kohnke is 1295931368. It was assigned to this individual provider in the NPPES registry on June 25, 2007.

Where is Gwendolyn Kelly-kohnke located?

Gwendolyn Kelly-kohnke practices at 8421 Wayzata Blvd Ste 220, Golden Valley, MN 55426. The listed phone number is (763) 231-0143.

What is Gwendolyn Kelly-kohnke's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Gwendolyn Kelly-kohnke enrolled in Medicare?

Yes. Gwendolyn Kelly-kohnke is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gwendolyn Kelly-kohnke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gwendolyn Kelly-kohnke reassigns Medicare benefits to Kelly Chiropractic, PA (Golden Valley, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gwendolyn Kelly-kohnke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gwendolyn Kelly-kohnke was last updated on November 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.