Individual
DR. BARRY THOMAS KELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
890 W POPLAR AVE, SUITE 4, COLLIERVILLE, TN 38017-6505
(901) 853-0103
(901) 853-0049
Mailing address
890 W POPLAR AVE, SUITE 4, COLLIERVILLE, TN 38017-6505
(901) 853-0103
(901) 853-0049
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
678
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3676383
MEDICARE PTAN
TN
Enumeration date
01/30/2006
Last updated
12/07/2015
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