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DR. KELLY S STORK DC
NPI 1306972427
Chiropractor in Meridian, ID

Active since February 25, 2007
2011 N LOCUST GROVE RD, MERIDIAN, ID 83642(208) 888-8797(208) 888-8799 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kelly S Stork Dc NPPES

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

DR. KELLY S STORK DC (NPI 1306972427) is an individual chiropractor in Meridian, Idaho, licensed in Idaho (CHIA-1096) and active in the NPI registry since February 2007. She is a graduate of Palmer College Chiropractic - Davenport (2001).

NPPES Registry Identity

NPI1306972427
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. KELLY S STORKCredential: DC
Location Address2011 N LOCUST GROVE RDMeridian, ID 83642-1827
Mailing Address2011 N Locust Grove RdMeridian, ID 83642-1827 · (208) 888-8797 · Fax (208) 888-8799
Phone(208) 888-8797
Fax(208) 888-8799
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2001
Enumeration DateFebruary 25, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306972427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ID · CHIA-1096
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.
2011 N LOCUST GROVE RD, Meridian, ID 83642
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Other Names 1

Professional Name (2)Dr. Kelly S Mix Dc

Other Identifiers 1

Medicare UPINV04090ID

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly S Stork Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173577715
PECOS Enrollment IDI20050308000313

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.
147 services19 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.

DR. ROBERT A STORK DC
Chiropractor
2011 N LOCUST GROVE RD
MERIDIAN, ID 83642
Ada County (208) 888-8797

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 Kelly Stork's NPI number?

The NPI number for Kelly Stork is 1306972427. It was assigned to this individual provider in the NPPES registry on February 25, 2007. The provider is also known as Dr. Kelly S Mix Dc.

Where is Kelly Stork located?

Kelly Stork practices at 2011 N Locust Grove Rd, Meridian, ID 83642. The listed phone number is (208) 888-8797.

What is Kelly Stork's specialty?

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

Is Kelly Stork enrolled in Medicare?

Yes. Kelly Stork is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Stork was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.