Kelly Waters Dunklow (NPI# 1710379672, PAC ID# 0042538480) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1710379672 |
| PAC ID by PECOS | 0042538480 |
| Professional Enrollment ID | I20150416001962 |
| Full Name | Kelly Waters Dunklow |
| Organization Legal Name | SUMMIT CHIROPRACTIC CENTER LLC |
| Address |
69 Ctr Rd Essex Junction VT 05452-2622 |
| Phone Number | 8026621047 |
| Gender | F |
| Medical School | LIFE CHIROPRACTIC COLLEGE |
| Graduation Year | 2014 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 0345568788 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 69 Ctr Rd, Essex Junction, VT 05452-2622 | 8026621047 | SUMMIT CHIROPRACTIC CENTER LLC |
| Organization Legal Name | SUMMIT CHIROPRACTIC CENTER LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tilyr Alfred Dunklow | Chiropractic | Summit Chiropractic Center LLC | 69 Ctr Rd, Essex Junction, VT 05452-2622 |
| Street Address |
69 CTR RD |
| City | ESSEX JUNCTION |
| State | VT |
| Zip | 05452-2622 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tilyr Alfred Dunklow | Chiropractic | Summit Chiropractic Center LLC | 69 Ctr Rd, Essex Junction, VT 05452-2622 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Serena Magnan | Physical Therapy | Physical Therapy Center of Vermont LLC | 4 Morse Dr, Essex Junction, VT 05452-2811 |
| Tori D Lamphere | Physical Therapy | Physical Therapy Center of Vermont LLC | 4 Morse Dr, Essex Junction, VT 05452-2811 |
| Tracy Benedict | Physical Therapy | Physical Therapy Center of Vermont LLC | 4 Morse Dr, Essex Junction, VT 05452-2811 |
| Nicole M Leonard | Physical Therapy | Physical Therapy Center of Vermont LLC | 4 Morse Dr, Essex Junction, VT 05452-2811 |
| Elaine Morse | Clinical Social Worker | 27 Kellogg Rd, Essex Junction, VT 05452-2820 | |
| Sarah M Dibona | Physical Therapy | Excel Physical Therapy Inc | 3 A David Dr, Essex Junction, VT 05452-2826 |
| Jaclyn Gamache | Physical Therapy | Excel Physical Therapy Inc | 3 A David Dr, Essex Junction, VT 05452-2826 |
| Sarah Kieslich | Physical Therapy | Excel Physical Therapy Inc | 3 A David Dr, Essex Junction, VT 05452-2826 |
| Marion E Palermo | Psychologist, Clinical | 15 Pinecrest Dr, Essex Jct, VT 05452-2912 | |
| Amber L Minton | Clinical Social Worker | 15 Pinecrest Dr, Essex Jct, VT 05452-2912 | |
| Find all physicians in zip 05452 | |||
| City | ESSEX JUNCTION |
| Zip Code | 05452 |
| Specialty | CHIROPRACTIC |
| City + Specialty | ESSEX JUNCTION + CHIROPRACTIC |
Please comment or provide details below to improve the information on Kelly Waters Dunklow.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.