MEDICARE: ELITE HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1083469282
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELITE HEALTH

Provider Business Mailing Address
First Line	:	PO BOX 131
Second Line	:
City	:	SHELBYVILLE
State	:	TN
Zip	:	37162-0131
Country	:	US
Telephone Number	:	931-842-9995
Fax Number	:	931-263-8748

Provider Business Practice Location Address
First Line	:	875 UNION ST
Second Line	:
City	:	SHELBYVILLE
State	:	TN
Zip	:	37160-2603
Country	:	US
Telephone Number	:	931-842-9995
Fax Number	:	931-263-8748

Authorized Official
Title or Position	:	OWNER
Name	:	CORY LYN KENYON
Credential	:
Telephone Number	:	615-859-6677

Provider Enumeration Date	:	04/22/2024
Last Update Date	:	01/25/2026

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Directions to “ELITE HEALTH ” Practice Location

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