DR. SUSAN JANE KELLY (NPI# 1942326640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942326640 |
| Entity Type | Individual |
| Full Name | DR. SUSAN JANE KELLY |
| Credential | D.C. |
| Practice Address |
8421 Wayzata Blvd Suite 220 Golden Valley MN 55426-1352 |
| Practice Telephone | 6122294965 |
| Mailing Telephone | 6122294965 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3168 | MN | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023658168 | Susan Schack Kelly | Psychologist | 8609 Germantown Ave # 2f, Philadelphia, PA 19118-2863 | 2020-01-07 |
| 1992265003 | Susan Elizabeth Kelly | Nurse Practitioner | 239 Clifford Price Loop, Mooresburg, TN 37811-2337 | 2019-03-24 |
| 1770956617 | Susan Dale Kelly | Social Worker | 524 Brighton Ave, Spring Lake, NJ 07762-1561 | 2015-10-31 |
| 1356773097 | Susan J. Kelly | Social Worker | 31 Ownly Ave, West Haven, CT 06516-1245 | 2013-08-05 |
| 1992046007 | Susan Kelly | Nurse Practitioner | 3001 S Lincoln Ave Ste A, Steamboat Springs, CO 80487-1790 | 2013-03-14 |
| 1063708758 | Susan Fay Kelly | Social Worker | 100 So. Highland, Ossining, NY 10562 | 2011-06-22 |
| 1003029091 | Susan Eve Kelly | Occupational Therapist | 79 Blueberry La, Laconia, NH 03246 | 2007-05-07 |
| 1043386246 | Susan Kelly | Social Worker | 42 Wendell Avenue, Pittsfield, MA 01201 | 2006-11-28 |
| 1669566139 | Susan S Kelly | Physical Therapist | 1340 Lake Blvd., Davis, CA 95616 | 2006-10-02 |
| 1548200074 | Susan C Kelly | Dermatology | 7 Weaver Rd, North Kingstown, RI 02852-7135 | 2006-06-06 |
| Street Address |
8421 WAYZATA BLVD SUITE 220 |
| City | GOLDEN VALLEY |
| State | MN |
| Zip Code | 55426-1352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679593529 | Mary Andrashko | Chiropractor | 8421 Wayzata Blvd, Ste 220, Golden Valley, MN 55426-1380 | 2006-07-20 |
| 1578074308 | Colleen Crockford | Social Worker | 8421 Wayzata Blvd, Golden Valley, MN 55426-1352 | 2017-10-19 |
| 1831547991 | Maxim Healthcare Services Inc | Home Health | 8421 Wayzata Blvd, Suite 320, Golden Valley, MN 55426-1352 | 2016-05-31 |
| 1629469903 | Elisabeth Emmerich | Counselor | 8421 Wayzata Blvd, Suite 250, Golden Valley, MN 55426-1352 | 2015-02-09 |
| 1053726117 | Bryan Jarred Cole | Marriage & Family Therapist | 8421 Wayzata Blvd, Suite 250, Golden Valley, MN 55426-1352 | 2014-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
| 1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
| 1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
| 1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
| 1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
| 1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| Find all providers in zip 55426 | ||||
| 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 |
|---|---|---|---|---|
| 1659988848 | Amanda Shorter | Chiropractor | 669 Winnetka Ave N Ste 202, Golden Valley, MN 55427-4576 | 2020-09-30 |
| 1265996722 | Sarah Weidler | Chiropractor | 701 Decatur Ave N Ste 207, Golden Valley, MN 55427-4375 | 2019-01-29 |
| 1073015855 | Andy Secor | Chiropractor | 5801 Duluth St Ste 110, Golden Valley, MN 55422-3958 | 2018-03-07 |
| 1558700419 | Scott N Hoppe | Chiropractor | 4266 Dahlberg Dr, Golden Valley, MN 55422-4805 | 2013-06-24 |
| 1356684039 | Spring Gate Health, LLC | Chiropractor | 5851 Duluth St Ste 115, Golden Valley, MN 55422-3955 | 2013-04-01 |
| 1114266129 | Integrative Health Care Services, LLC | Chiropractor | 820 Lilac Dr N Ste 165, Golden Valley, MN 55422-4700 | 2013-02-11 |
| 1205174919 | Resolution Chiropractic Professional Corporation | Chiropractor | 5155 Winsdale St N, Golden Valley, MN 55422-4525 | 2013-01-30 |
| 1942521638 | Assiat Bjadtoeva Boke | Chiropractor | 5851 Duluth St Ste 301, Golden Valley, MN 55422-3957 | 2010-06-16 |
| 1720311483 | Healthy Nation Consulting, Inc | Chiropractor | 115 Maddaus Ln, Golden Valley, MN 55416-3365 | 2009-09-14 |
| 1578722419 | Steven B Goldschmidt | Chiropractor | 810 Lilac Dr N, Suite 103, Golden Valley, MN 55422-4656 | 2008-06-05 |
| Find all providers in GOLDEN VALLEY | ||||
| City | GOLDEN VALLEY |
| Zip Code | 55426 |
Please comment or provide details below to improve the information on DR. SUSAN JANE KELLY.
| 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.