# KELLY CHIROPRACTIC WELLNESS CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790937365
- **Authorized official:** PATRICK KELLY DC (OWNER)
- **Authorized official phone:** (845) 469-2224

## Contact information

- **Practice address:** 45 BROOKSIDE AVE., CHESTER, NY 10918-1409
- **Practice address phone:** (845) 610-5555
- **Practice address fax:** (845) 610-5556
- **Mailing address:** 45 BROOKSIDE AVE., CHESTER, NY 10918-1409
- **Mailing address phone:** (845) 610-5555
- **Mailing address fax:** (845) 610-5556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | XO11238-1 | NY | Yes |

## Other

- **Enumeration date:** 10/15/2008
- **Last updated:** 11/27/2019