Individual
DR. DAVID KELLENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3169 PROFESSIONAL PLZ, GERMANTOWN, TN 38138-7917
(901) 861-1212
(901) 618-1283
Mailing address
3169 PROFESSIONAL PLZ, GERMANTOWN, TN 38138-7917
(901) 861-1212
(901) 861-1283
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1490
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-3803810
TAX IDENTIFICATION
TN
01
—
4165737
BCBST
—
Enumeration date
01/31/2007
Last updated
05/30/2023
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