Physician Compare National (NPI:1235500398)

HEALTHCARE PROVIDER: KEELI LYNN FARLEY D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1235500398
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9436452067
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160114001888
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FARLEY
	Individual professional last name
Provider First Name	KEELI
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PALMER COLLEGE CHIROPRACTIC - DAVENPORT
	Individual professional's medical school
Graduation Year	2015
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BETTENDORF CHIROPRACTIC WELLNESS CENTER INC.
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	6002931359
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	4893 UTICA RIDGE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	DAVENPORT
	Group Practice or individual's city
State	IA
	Group Practice or individual's state
Zip Code	528073081
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5633595600
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y