KELLY ANNE SUDORE R.N., B.S.N., D.C.
NPI 1669512828
Chiropractor in Monroe, WA

Active since February 07, 2007
328 W MAIN ST, MONROE, WA 98272(360) 794-4500(360) 863-1640 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Anne Sudore R.n., B.s.n., D.c. NPPES

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

KELLY ANNE SUDORE R.N., B.S.N., D.C. (NPI 1669512828) is an individual chiropractor in Monroe, Washington, licensed in Oregon (CH00033602) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1669512828
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameKELLY ANNE SUDORECredential: R.N., B.S.N., D.C.
Location Address328 W MAIN STMonroe, WA 98272-1812
Mailing Address328 W Main StMonroe, WA 98272-1812 · (360) 794-4500 · Fax (360) 863-1640
Fax(360) 863-1640
Sole ProprietorYes
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1669512828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in OR · CH00033602
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.
328 W MAIN ST, Monroe, WA 98272

Other Identifiers 3

Other402450WA · Other
Medicare ID-Type Unspecified8807179WA · Medicare
Medicare UPINV01369WA

Other Providers at the Same Location NPPES 11

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

Naturopath
328 W MAIN ST
MONROE, WA 98272
Acupuncturist
328 W MAIN ST
MONROE, WA 98272
Acupuncturist
328 W MAIN ST
MONROE, WA 98272
Massage Therapist
328 W MAIN ST
MONROE, WA 98272
Massage Therapist
328 W MAIN ST
MONROE, WA 98272
Naturopath
328 W MAIN ST
MONROE, WA 98272
Acupuncturist
328 W MAIN ST
MONROE, WA 98272
Massage Therapist
328 W MAIN ST
MONROE, WA 98272

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 Sudore's NPI number?

The NPI number for Kelly Sudore is 1669512828. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Kelly Sudore located?

Kelly Sudore practices at 328 W Main St, Monroe, WA 98272. The listed phone number is (360) 794-4500.

What is Kelly Sudore'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 Sudore was last updated on July 9, 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.