| Dullenty Chiropractic Family Wellness Center, Llc | |
|
805 W Pine St, Poplar Bluff, MO 63901-4956 | |
| (573) 785-2225 | |
| (573) 355-5401 |
| Full Name | Dullenty Chiropractic Family Wellness Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 805 W Pine St, Poplar Bluff, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508095373 | NPI | - | NPPES |
| 1952588956 | Other | MO | PERSONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2011039215 (Missouri) | Primary |
| Provider Name | Kelly R Wilkerson Dullenty |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952588956 PECOS PAC ID: 8628152188 Enrollment ID: I20111213000932 |
| Mailing Address | Practice Location Address |
|---|---|
| Dullenty Chiropractic Family Wellness Center, Llc 805 W Pine St, Poplar Bluff, MO 63901-4956 Ph: (573) 785-2225 | Dullenty Chiropractic Family Wellness Center, Llc 805 W Pine St, Poplar Bluff, MO 63901-4956 Ph: (573) 785-2225 |
Dr. Kody Berrong, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2725 N Westwood Blvd Ste 13, Poplar Bluff, MO 63901 Phone: 573-776-7246 Fax: 844-270-7119 | |
Dr. Jack Douglas Rushin, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 400 S 11th St, Poplar Bluff, MO 63901 Phone: 573-785-5666 | |
Day One Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1907 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-772-5451 | |
Dr. Leslie Erin Forrester, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1251 Sterling Dr, Poplar Bluff, MO 63901 Phone: 573-712-2500 Fax: 573-712-2501 | |
Cleous Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 400 S 11th St, Poplar Bluff, MO 63901 Phone: 573-785-5666 | |
Dr. Keith Elton Biggs, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-686-4151 | |
Ryan Cleous, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 400 S 11th St, Poplar Bluff, MO 63901 Phone: 573-785-5666 |