KELLY CHIROPRACTIC CENTER OF WALLACE
NPI 1821286527
Chiropractor in Wallace, NC

Active since October 09, 2007
112 MEDICAL VILLAGE DR, SUITE A, WALLACE, NC 28466(910) 285-9002 Get Directions Write a Review

NPPES record last updated: March 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Chiropractic Center Of Wallace NPPES

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

KELLY CHIROPRACTIC CENTER OF WALLACE (NPI 1821286527) is a healthcare organization registered as a chiropractor in Wallace, North Carolina and active in the NPI registry since October 2007. The organization lists Chad Garrett Kelly, President, as its authorized official.

NPPES Registry Identity

NPI1821286527
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKELLY CHIROPRACTIC CENTER OF WALLACE
Location Address112 MEDICAL VILLAGE DR, SUITE AWallace, NC 28466-1668
Mailing AddressPo Box 1917Clinton, NC 28329-1917 · (910) 285-9002
Organization SubpartNo
Authorized OfficialChad Garrett KellyPresident · (910) 214-6887
Enumeration DateOctober 9, 2007
Last NPPES UpdateMarch 20, 2008
NPI 1821286527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NC · 2714
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.
112 MEDICAL VILLAGE DR, Wallace, NC 28466

Other Identifiers 5

Other0841KBlue Cross Blue Shield
Medicare PIN2335718
Medicaid890845CNC
Other0845CBlue Cross Blue Shield
Medicaid890841KNC

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

Other Providers at the Same Location NPPES 8

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

Internal Medicine
112 MEDICAL VILLAGE DR, UNIT F
WALLACE, NC 28466
Physician Assistant
112 MEDICAL VILLAGE DR, SUITE G
WALLACE, NC 28466
Family Medicine
112 MEDICAL VILLAGE DR, STE G
WALLACE, NC 28466
Physical Therapist
112 MEDICAL VILLAGE DR
WALLACE, NC 28466
Family Medicine
112 MEDICAL VILLAGE DR, UNIT D
WALLACE, NC 28466
Family Medicine
112 MEDICAL VILLAGE DR
WALLACE, NC 28466
Internal Medicine
112 MEDICAL VILLAGE DR, UNIT F
WALLACE, NC 28466
Family Medicine
112 MEDICAL VILLAGE DR, UNIT D
WALLACE, NC 28466

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 Center Of Wallace's NPI number?

The NPI number for Kelly Chiropractic Center Of Wallace is 1821286527. It was assigned to this organization in the NPPES registry on October 9, 2007.

Where is Kelly Chiropractic Center Of Wallace located?

Kelly Chiropractic Center Of Wallace is located at 112 Medical Village Dr Suite A, Wallace, NC 28466. The listed phone number is (910) 285-9002.

What is Kelly Chiropractic Center Of Wallace'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 Chiropractic Center Of Wallace was last updated on March 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.