1. Home
  2. Directory
  3. Minnesota
  4. Golden Valley
  5. Chiropractor
  6. NPI Profile

KELLY CHIROPRACTIC, PA
NPI 1639237969
Chiropractor in Golden Valley, MN

Active since December 06, 2006
8421 WAYZATA BLVD. SUITE 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 Kelly Chiropractic, Pa NPPES

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

KELLY CHIROPRACTIC, PA (NPI 1639237969) is a healthcare organization registered as a chiropractor in Golden Valley, Minnesota and active in the NPI registry since December 2006. The organization lists Gwendolyn E Kelly-kohnke, President, as its authorized official.

NPPES Registry Identity

NPI1639237969
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKELLY CHIROPRACTIC, PA
Location Address8421 WAYZATA BLVD. SUITE 220Golden Valley, MN 55426
Mailing Address16980 Saddlewood TrlMinnetonka, MN 55345-2678 · (612) 702-9206
Phone(763) 231-0143
Organization SubpartNo
Authorized OfficialGwendolyn E Kelly-kohnkePresident · (763) 231-0143
Enumeration DateDecember 6, 2006
Last NPPES UpdateNovember 1, 2010
✔ NPI 1639237969 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. SUITE 220, Golden Valley, MN 55426
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified350003072MN · Group # Co3516
Other320S0KEBlue Cross Blue Shield #

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Chiropractic, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kelly Chiropractic, PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gwendolyn Kelly-Kohnke, DC
Chiropractic
NPI 1295931368
8421 WAYZATA BLVD STE 220
Golden Valley, MN 55426
(763) 231-0143
Same address

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

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 Chiropractic, PA's NPI number?

The NPI number for Kelly Chiropractic, PA is 1639237969. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Kelly Chiropractic, PA located?

Kelly Chiropractic, PA is located at 8421 Wayzata Blvd. Suite 220, Golden Valley, MN 55426. The listed phone number is (763) 231-0143.

What is Kelly Chiropractic, PA's specialty?

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

Is Kelly Chiropractic, PA enrolled in Medicare?

Yes. Kelly Chiropractic, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kelly Chiropractic, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Kelly Chiropractic, PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Chiropractic, PA 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.