Individual
DR. MICHAEL G KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
720 20TH AVE SW, MINOT, ND 58701-6441
(701) 838-8000
(701) 838-8444
Mailing address
720 20TH AVE SW, MINOT, ND 58701-6441
(701) 838-8000
(701) 838-8444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1154
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0845C
BCBS
NC
01
—
350051893
RAILROAD MEDICARE
NC
05
—
890845C
—
NC
Enumeration date
09/28/2006
Last updated
05/19/2025
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