DR. CRAIG PATRICK KELLEY (NPI# 1508188822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508188822 |
| Entity Type | Individual |
| Full Name | DR. CRAIG PATRICK KELLEY |
| Credential | D.C. |
| Practice Address |
529 E Main St Bridgeport WV 26330-1824 |
| Practice Telephone | 3048424202 |
| Mailing Telephone | 3048424202 |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2017-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 913 | WV | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205020989 | Craig Kelley | Case Manager/Care Coordinator | 526 S San Pedro St, Los Angeles, CA 90013-2102 | 2007-09-05 |
| Street Address |
529 E MAIN ST |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-1824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891732962 | Michael W Mason | Chiropractor | 529 E Main St, Bridgeport, WV 26330-1824 | 2006-05-31 |
| 1477082048 | Chad Michael Porter | Chiropractor | 529 E Main St, Bridgeport, WV 26330-1824 | 2017-06-07 |
| 1285935965 | Amanda Green | Massage Therapist | 529 E Main St, Bridgeport, WV 26330-1824 | 2010-11-10 |
| 1992016729 | Kristen A Rice | Massage Therapist | 529 E Main St, Bridgeport, WV 26330-1824 | 2010-06-26 |
| 1184942807 | Susan Dipetta | Chiropractor | 529 E Main St, Bridgeport, WV 26330-1824 | 2010-05-05 |
| 1033444880 | Jaime K Sipher | Massage Therapist | 529 E Main St, Bridgeport, WV 26330-1824 | 2009-10-13 |
| 1619107687 | Courtnie Danielle Spencer | Specialist | 529 E Main St, Bridgeport, WV 26330-1824 | 2009-07-23 |
| 1013155217 | Linda Ann Mccullough | Specialist | 529 E Main St, Bridgeport, WV 26330-1824 | 2009-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| Find all providers in zip 26330 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740677293 | Chiropractors Without Borders | Chiropractor | 630 Brooklawn Ave, Bridgeport, CT 06604-1528 | 2015-04-22 |
| 1396167698 | Brian Piecuch | Chiropractor | 40 Patricia Rd Unit C, Bridgeport, CT 06606-2083 | 2014-01-06 |
| 1609208164 | Jonathan Daniel Rosa | Chiropractor | 955 Main St Apt 812, Bridgeport, CT 06604-4336 | 2013-08-06 |
| 1831477975 | Noel Heriberto Sepulveda | Chiropractor | 1187 Broad St, Lower Level, Bridgeport, CT 06604-4101 | 2011-07-22 |
| 1710218045 | Best Chiropractic Clinic Inc | Chiropractor | 102 Hill St, Bridgeport, WV 26330-1756 | 2010-01-27 |
| 1235377896 | James W Leonette | Chiropractor | 130 Professional Pl, Bridgeport, WV 26330-4599 | 2009-02-04 |
| 1417109323 | James Jarrett Webb | Chiropractor | 1114 Halsell St, Bridgeport, TX 76426-3032 | 2008-10-22 |
| 1104073220 | Kristen Ann Kaczanowski | Chiropractor | 1115 Main Street, Suite #412, Bridgeport, CT 06604-4406 | 2008-08-20 |
| 1558520635 | David C Arpie | Chiropractor | 1700a Barnum Ave, Bridgeport, CT 06610-3206 | 2008-06-04 |
| 1649449695 | Booth Chiropractic | Chiropractor | 56104 National Rd Ste 112a, Bridgeport, OH 43912-2506 | 2008-02-25 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
Please comment or provide details below to improve the information on DR. CRAIG PATRICK KELLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.