| Kelly M. Brown, D.c., Inc. | |
|
800 Ira E Woods Ave, Grapevine, TX 76051-5538 | |
| (817) 481-7025 | |
| (817) 481-9621 |
| Full Name | Kelly M. Brown, D.c., Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 800 Ira E Woods Ave, Grapevine, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235548561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4205 (Texas) | Primary |
| Provider Name | Kelly M Brown |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760593149 PECOS PAC ID: 2466347356 Enrollment ID: I20040219000183 |
| Provider Name | Troy William Cook |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639809940 PECOS PAC ID: 6002283918 Enrollment ID: I20221107001547 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly M. Brown, D.c., Inc. 800 Ira E Woods Ave, Grapevine, TX 76051-5538 Ph: (817) 481-7025 | Kelly M. Brown, D.c., Inc. 800 Ira E Woods Ave, Grapevine, TX 76051-5538 Ph: (817) 481-7025 |
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