Antonya Kelley, DC | |
6750 N Macarthur Blvd Ste 305, Irving, TX 75039-2875 | |
(214) 256-4125 | |
Not Available |
Full Name | Antonya Kelley |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 6750 N Macarthur Blvd Ste 305, Irving, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164200986 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 15650 (Texas) | Primary |
Provider Name | Myocore Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316138316 PECOS PAC ID: 9830267277 Enrollment ID: O20180501000394 |
Mailing Address | Practice Location Address |
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Antonya Kelley, DC 2625 Butterfield Rd Ste 301n, Oak Brook, IL 60523-1266 Ph: (630) 468-1824 | Antonya Kelley, DC 6750 N Macarthur Blvd Ste 305, Irving, TX 75039-2875 Ph: (214) 256-4125 |
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