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DR. KELLY REBEKAH WILKERSON DULLENTY D.C.
NPI 1952588956
Chiropractor in Bloomington, IL

Active since January 22, 2008Accepts Medicare Assignment
1210 TOWANDA PLZ, #17, BLOOMINGTON, IL 61701(309) 828-6200(309) 828-6002 Get Directions Write a Review

NPPES record last updated: March 30, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kelly Rebekah Wilkerson Dullenty D.c. NPPES

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

DR. KELLY REBEKAH WILKERSON DULLENTY D.C. (NPI 1952588956) is an individual chiropractor in Bloomington, Illinois, licensed in Illinois (038.011098) and active in the NPI registry since January 2008. She is a graduate of Logan College Of Chiropractic (2007).

NPPES Registry Identity

NPI1952588956
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. KELLY REBEKAH WILKERSON DULLENTYCredential: D.C.
Location Address1210 TOWANDA PLZ, #17Bloomington, IL 61701-3454
Mailing Address1210 Towanda Plz, #17Bloomington, IL 61701-3454 · (309) 828-6200 · Fax (309) 828-6002
Phone(309) 828-6200
Fax(309) 828-6002
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2007
Enumeration DateJanuary 22, 2008
Last NPPES UpdateMarch 30, 2010
✔ NPI 1952588956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038.011098
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.
1210 TOWANDA PLZ, Bloomington, IL 61701
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Other Identifiers 2

Other5732071IL · Bcbs Of Illinois
Medicare UPINK49426IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kelly Rebekah Wilkerson Dullenty D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628152188
PECOS Enrollment IDI20251107002330

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 Wilkerson Dullenty's NPI number?

The NPI number for Kelly Wilkerson Dullenty is 1952588956. It was assigned to this individual provider in the NPPES registry on January 22, 2008.

Where is Kelly Wilkerson Dullenty located?

Kelly Wilkerson Dullenty practices at 1210 Towanda Plz #17, Bloomington, IL 61701. The listed phone number is (309) 828-6200.

What is Kelly Wilkerson Dullenty's specialty?

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

Is Kelly Wilkerson Dullenty enrolled in Medicare?

Yes. Kelly Wilkerson Dullenty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Wilkerson Dullenty accept?

Health plans from Medica list Kelly Wilkerson Dullenty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Wilkerson Dullenty was last updated on March 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.