DR. RANDY LEE KELLERMAN (NPI# 1790973881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790973881 |
| Entity Type | Individual |
| Full Name | DR. RANDY LEE KELLERMAN |
| Credential | CHIROPRACTOR |
| Practice Address |
7210 Wornall Rd Kansas City MO 64114-1345 |
| Practice Telephone | 8163332533 |
| Practice Fax Number | 8163332586 |
| Mailing Telephone | 8163332533 |
| Mailing Fax Number | 8163332586 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2007030924 | MO | Chiropractic Providers |
| Street Address |
7210 WORNALL RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64114-1345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154369742 | Frederick Raymond Staab | Chiropractor | 7210 Wornall Rd, Kansas City, MO 64114-1345 | 2006-06-03 |
| 1689016545 | Kc Spine Care LLC | Chiropractor | 7210 Wornall Rd, Kansas City, MO 64114-1345 | 2013-07-20 |
| 1598907560 | David Allen Dover | Chiropractor | 7210 Wornall Rd, Kansas City, MO 64114-1345 | 2009-04-06 |
| 1972761187 | Waldo Wellness Group PC | Chiropractor | 7210 Wornall Rd, Kansas City, MO 64114-1345 | 2008-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055968 | Nova Home Infusion, LLC | Home Infusion | 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 | 2020-02-20 |
| 1770011017 | Rene Thomsen | Counselor | 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 | 2017-05-31 |
| 1114452075 | Accent Home Health Care LLC | In Home Supportive Care | 7817 Wornall Rd, Kansas City, MO 64114 | 2017-04-27 |
| 1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
| 1851784805 | Sarah Jeannette Gulledge | Registered Nurse | 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 | 2015-03-16 |
| 1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
| 1013339753 | Kati Mayer | Physical Therapist | 10008 Walnut Dr., #202, Kansas City, MO 64114 | 2014-01-15 |
| 1619270311 | Gavett Burch | Marriage & Family Therapist | 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 | 2010-12-18 |
| 1679873046 | Ken Kidd Inc Dba Miracle-ear | Hearing Instrument Specialist | 1148 W. 103rd St, Kansas City, MO 64114 | 2010-11-01 |
| 1316264161 | Elizabeth Vasquez | Physician Assistant | 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 | 2010-05-03 |
| Find all providers in zip 64114 | ||||
| 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 |
|---|---|---|---|---|
| 1689286577 | Matthew Burton | Chiropractor | 10801 E 50th St, Kansas City, MO 64133-2209 | 2020-08-20 |
| 1457979668 | Harrison Vawter | Chiropractor | 300 W 74th Ter, Kansas City, MO 64114-5746 | 2020-07-14 |
| 1710504477 | Summer Reed | Chiropractor | 4250 N Oak Trfy, Kansas City, MO 64116-4541 | 2020-06-29 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1992327613 | Quantum Wellness LLC | Chiropractor | 7280 Nw 87th Ter # C210, Kansas City, MO 64153-3720 | 2020-05-15 |
| 1104450428 | Anthony C Bolin II | Chiropractor | 1800 Wyandotte St # 201, Kansas City, MO 64108-1902 | 2020-02-25 |
| 1942834478 | Chirofit LLC | Chiropractor | 600 Broadway Blvd Ste 175, Kansas City, MO 64105-1536 | 2020-02-24 |
| 1952943482 | Lisa Vawter | Chiropractor | 7019 Oak St, Kansas City, MO 64113-2500 | 2019-10-16 |
| 1114578846 | Taylor Phipps | Chiropractor | 103 Archibald St, Kansas City, MO 64111-2214 | 2019-09-24 |
| 1588211544 | Sean Wattenbarger | Chiropractor | 612 E 117th Ter, Kansas City, MO 64131-3862 | 2019-08-23 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64114 |
Please comment or provide details below to improve the information on DR. RANDY LEE KELLERMAN.
| 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.