DR. KELLY RENEE THORNTON (NPI# 1780744292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780744292 |
| Entity Type | Individual |
| Full Name | DR. KELLY RENEE THORNTON |
| Credential | D.C. |
| Practice Address |
8194 Byron Center Ave Sw Byron Center MI 49315-9401 |
| Practice Telephone | 6165837810 |
| Practice Fax Number | 6165830150 |
| Mailing Telephone | 6165837810 |
| Mailing Fax Number | 6165830150 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301008969 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | TAX IDENTIFICATION # | 202066577 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 950D114180 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932405446 | Kelly Thornton | Physical Therapist | 555 E 10th Ave Apt 502, Denver, CO 80203-3244 | 2011-01-31 |
| 1679828909 | Kelly Alison Thornton | Pharmacist | 1 Medical Center Drive, Morgantown, WV 26505 | 2012-07-24 |
| 1750492203 | Kelly S. Thornton | Nurse Practitioner | 2209 N 2nd St, Booneville, MS 38829-7734 | 2006-08-31 |
| Street Address |
8194 BYRON CENTER AVE SW |
| City | BYRON CENTER |
| State | MI |
| Zip Code | 49315-9401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760650220 | Byron Center Chiropractic | Chiropractor | 8194 Byron Center Ave Sw, Byron Center, MI 49315-7919 | 2008-02-18 |
| 1053471573 | Ryan D Thornton | Chiropractor | 8194 Byron Center Ave Sw, Byron Center, MI 49315-9401 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205225687 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 6500 Byron Center Sw Ste 100, Byron Center, MI 49315 | 2015-01-22 |
| 1285038158 | Amanda Foster | Social Worker | 500 South Third Ave, Big Rapids, MI 49315 | 2014-10-21 |
| 1245411016 | Janette Seager | Psychologist | 2147 Center Grange Dr, Byron Center, MI 49315 | 2007-11-20 |
| 1720127822 | Robert Louis Harrison | Chiropractor | 2360 84th Street, Byron Center, MI 49315 | 2007-02-05 |
| 1457377483 | Ann M Knapp | Emergency Medicine | 2373 64th St, Ste 1200, Byron Center, MI 49315 | 2006-07-14 |
| 1215985114 | John Adrian Mulder | Specialist | 8412 Pfeiffer Farms Dr, Byron Center, MI 49315 | 2006-05-04 |
| 1871550525 | Russel F Curtis | Optometrist | 2155 84th St Sw, Byron Center, MI 49315 | 2006-04-27 |
| 1033183371 | Thomas B Foster | Internal Medicine | 2373 64th St Sw, Ste 1300, Grand Rapids, MI 49315 | 2006-02-14 |
| 1154819035 | Kathryn Ellens | Nurse Practitioner | 7751 Byron Center Ave Sw Ste C, Byron Center, MI 49315 | 2018-04-26 |
| 1922502269 | Laura Schipper | Nurse Practitioner | 7751 Byron Center Ave Sw Ste C, Byron Center, MI 49315 | 2018-03-21 |
| Find all providers in zip 49315 | ||||
| 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 |
|---|---|---|---|---|
| 1215540463 | Lake State Chiropractic Pllc | Chiropractor | 2155 84th St Sw Ste 4, Byron Center, MI 49315-8259 | 2020-08-27 |
| 1962696393 | Natural Health Chiropractic Plc | Chiropractor | 2575 84th St Sw, Suite B, Byron Center, MI 49315-0443 | 2007-08-29 |
| 1720127822 | Robert Louis Harrison | Chiropractor | 2360 84th Street, Byron Center, MI 49315 | 2007-02-05 |
| 1760650220 | Byron Center Chiropractic | Chiropractor | 8194 Byron Center Ave Sw, Byron Center, MI 49315-7919 | 2008-02-18 |
| 1053471573 | Ryan D Thornton | Chiropractor | 8194 Byron Center Ave Sw, Byron Center, MI 49315-9401 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860240 | Moriah K Severance | Chiropractor | 2449 W Kimmel Rd, Jackson, MI 49201-9783 | 2020-10-30 |
| 1760082465 | David Scott Severance | Chiropractor | 11720 Tompkins Rd, Rives Junction, MI 49277-9629 | 2020-10-30 |
| 1760082705 | Kelly Chiropractic Clinic, LLC | Chiropractor | 3179 12 Mile Rd, Berkley, MI 48072-1339 | 2020-10-29 |
| 1619584273 | Sydnee Laree Rutledge | Chiropractor | 3634 Mccain Rd Ste 7, Jackson, MI 49203-2576 | 2020-09-28 |
| 1790391860 | Ferras Dassouki | Chiropractor | 1126 Hunter Ct, Milford, MI 48381-3180 | 2020-09-23 |
| 1811503972 | Nicholas Heiserman | Chiropractor | 498 E Monroe St, Dundee, MI 48131-1321 | 2020-09-23 |
| 1114532835 | Pro-active Chiropractic Wellness of Grand Rapids | Chiropractor | 4270 Plainfield Ave Ne # E, Grand Rapids, MI 49525-1603 | 2020-09-10 |
| 1609488402 | Primrose Family Chiropractic and Wellness Center | Chiropractor | 25900 Greenfield Rd Suite 252, Oak Park, MI 48237-1297 | 2020-08-21 |
| 1780295063 | Wilhelm Family Chiropractic and Massage Pllc | Chiropractor | 23200 Pontiac Trl, South Lyon, MI 48178-1983 | 2020-08-11 |
| 1639789522 | Ian Shepstone | Chiropractor | 139 W Michigan Ave, Grass Lake, MI 49240-9188 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
| City | BYRON CENTER |
| Zip Code | 49315 |
Please comment or provide details below to improve the information on DR. KELLY RENEE THORNTON.
| 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.