Organization
ELKHORN CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURT A KELLEY DC (MEMBER)
(402) 359-1422
Entity
Organization
Contact information
Practice address
20214 VETERANS DR, SUITE 300, ELKHORN, NE 68022-6900
(402) 359-1422
(402) 359-1424
Mailing address
20214 VETERANS DR, SUITE 300, ELKHORN, NE 68022-6900
(402) 359-1422
(402) 359-1424
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1377
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09803
BCBS
NE
05
—
100253167-00
—
NE
01
—
1134120785
INDIVIDUAL NPI
—
01
—
246973
MIDLANDS CHOICE
NE
01
—
264433
COVENTRY
NE
Enumeration date
05/16/2007
Last updated
08/22/2020
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