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DR. KELLY WALLIS D.C.
NPI 1952724395
Chiropractor in Fort Myers, FL

Active since January 21, 2014
6309 CORPORATE CT, STE. 110, FORT MYERS, FL 33919(239) 433-1011(239) 433-3737 Get Directions Write a Review

NPPES record last updated: January 21, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Kelly Wallis D.c. NPPES

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

DR. KELLY WALLIS D.C. (NPI 1952724395) is an individual chiropractor in Fort Myers, Florida, licensed in Florida (CH10990) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1952724395
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. KELLY WALLISCredential: D.C.
Location Address6309 CORPORATE CT, STE. 110Fort Myers, FL 33919-3538
Mailing Address6309 Corporate Ct, Ste. 110Fort Myers, FL 33919-3538 · (239) 433-1011 · Fax (239) 433-3737
Phone(239) 433-1011
Fax(239) 433-3737
Sole ProprietorYes
Enumeration DateJanuary 21, 2014
✔ NPI 1952724395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH10990
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.
6309 CORPORATE CT, Fort Myers, FL 33919
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Other Providers at the Same Location NPPES 2

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

JULIE ANN CAMPBELL CHIROPRACTOR
Chiropractor
6309 CORPORATE CT, STE A
FORT MYERS, FL 33919
Lee County (239) 433-1011
MR. CHARLES C. DUGAN II DC
Chiropractor
6309 CORPORATE CT, STE A
FORT MYERS, FL 33919
Lee County (239) 433-1011

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 Wallis's NPI number?

The NPI number for Kelly Wallis is 1952724395. It was assigned to this individual provider in the NPPES registry on January 21, 2014.

Where is Kelly Wallis located?

Kelly Wallis practices at 6309 Corporate Ct Ste. 110, Fort Myers, FL 33919. The listed phone number is (239) 433-1011.

What is Kelly Wallis'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 Wallis was last updated on January 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.