=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356293468
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | INNATELY WELL CHIROPRACTIC PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/11/2026
-----------------------------------------------------
Last Update Date | 02/11/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1125 N BROADWAY
-----------------------------------------------------
City | MINOT
-----------------------------------------------------
State | ND
-----------------------------------------------------
Zip | 58703-1323
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 254-931-5895
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 705 MAIN ST S
-----------------------------------------------------
City | MINOT
-----------------------------------------------------
State | ND
-----------------------------------------------------
Zip | 58701-4634
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 254-931-5895
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/CHIROPRACTOR
-----------------------------------------------------
Name | DR. SAMANTHA KAY KEMMER
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 254-931-5895
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------