Individual
KELLY L HELMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1804 BROADWAY AVE, MATTOON, IL 61938-3806
(217) 235-3100
(217) 235-3104
Mailing address
1804 BROADWAY AVE, MATTOON, IL 61938
(217) 235-3100
(217) 235-3104
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-008909
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01526215
BLUE CROSS BLUE SHIELD
IL
05
—
038008909
—
IL
01
—
350049692
RR MEDICARE
IL
Enumeration date
09/14/2006
Last updated
09/20/2018
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