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KELLY PAULSEN DC
NPI 1417081878
Chiropractor in Wauconda, IL

Active since March 15, 2007
105 S MAIN ST, WAUCONDA, IL 60084(847) 526-4040(847) 487-5101 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Paulsen Dc NPPES

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

KELLY PAULSEN DC (NPI 1417081878) is an individual chiropractor in Wauconda, Illinois and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1417081878
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameKELLY PAULSENCredential: DC
Location Address105 S MAIN STWauconda, IL 60084-1809
Mailing Address105 S Main StWauconda, IL 60084-1809 · (847) 526-4040 · Fax (847) 487-5101
Phone(847) 526-4040
Fax(847) 487-5101
Sole ProprietorYes
Enumeration DateMarch 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417081878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
105 S MAIN ST, Wauconda, IL 60084
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Other Identifiers 2

Medicare ID-Type Unspecified756340IL
Other049-01053IL · Blue Cross Blue Shield

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 Paulsen's NPI number?

The NPI number for Kelly Paulsen is 1417081878. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Kelly Paulsen located?

Kelly Paulsen practices at 105 S Main St, Wauconda, IL 60084. The listed phone number is (847) 526-4040.

What is Kelly Paulsen's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Paulsen 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.