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Kelly T Douglass, DC
Chiropractor in Northport, Alabama
NPI 1275822074

Kelly T Douglass is a Chiropractor based in Northport, AL. Kelly T Douglass practices in Northport, AL and has the professional credentials of DC. The NPI Number for Kelly T Douglass is 1275822074 and holds a License No. 2508 (Alabama).

The current practice location address for Kelly T Douglass is 3689 Watermelon Rd, Northport, AL and can be reached out via phone at 205-758-1600 and via fax at 205-758-6698.

Location: 3689 Watermelon Rd, Northport, AL, 35473-5139
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275822074
Provider Name
Kelly T Douglass
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
3689 Watermelon Rd, Northport, AL, 35473-5139
Phone Number
205-758-1600
Fax Number
205-758-6698
Provider Enumeration Date
04/01/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4296256 01 TN BCBS
institution
Provider Business Practice Location Address Details
Address
3689 Watermelon Rd
City
Northport
State
Alabama
Zip
35473-5139
Phone Number
205-758-1600
Fax Number
205-758-6698
person
Provider Business Mailing Address Details
Address
3689 Watermelon Rd
City
Northport
State
Alabama
Zip
35473-5139
Phone Number
205-758-1600
Fax Number
205-758-6698
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2508 (Tennessee)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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