NPI 1831675479 · live from the CMS NPI Registry
Brandon Kelley D.C. P.C.
Chiropractor, Sports Physician in Sheridan, WY. National Provider Identifier 1831675479, active.
NPI record
| NPI | 1831675479 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor, Sports Physician 111NS0005X |
| Practice location | 1156 N Main St, Sheridan, WY 82801 |
| Practice phone | 307-763-4556 |
| Enumerated | July 17, 2018 |
| Last updated | July 17, 2018 |
| Authorized official | Brandon Kelley, Physician |
| Other names | Sheridan Spine And Sports Medicine |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor, Sports Physician primary | 111NS0005X | 779 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.