MEDICARE: DR. RAE FRANCIS KELLY B.S.,D.C.

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	B-300	NV

General Provider Information

NPI Number	:	1558466151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAE FRANCIS KELLY B.S.,D.C.

Provider Business Mailing Address
First Line	:	1405 ARVILLE ST
Second Line	:	STE 102
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-0539
Country	:	US
Telephone Number	:	702-870-9200
Fax Number	:	702-870-9219

Provider Business Practice Location Address
First Line	:	1405 ARVILLE ST
Second Line	:	STE 102
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-0539
Country	:	US
Telephone Number	:	702-870-9200
Fax Number	:	702-870-9219

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	06/22/2017

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