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Dr. Kelly Renee Thornton, DC
Chiropractor in Byron Center, Michigan
NPI 1780744292

Kelly Renee Thornton is a Chiropractor based in Byron Center, MI. Kelly Renee Thornton practices in Byron Center, MI and has the professional credentials of DC. The NPI Number for Kelly Renee Thornton is 1780744292 and holds a License No. 2301008969 (Michigan).

The current practice location address for Kelly Renee Thornton is 8194 Byron Center Ave Sw, Byron Center, MI and can be reached out via phone at 616-583-7810 and via fax at 616-583-0150.

Location: 8194 Byron Center Ave Sw, Byron Center, MI, 49315-9401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780744292
Provider Name
Kelly Renee Thornton
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
8194 Byron Center Ave Sw, Byron Center, MI, 49315-9401
Phone Number
616-583-7810
Fax Number
616-583-0150
Provider Enumeration Date
12/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
950D114180 01 MI BLUE CROSS BLUE SHIELD
202066577 01 MI TAX IDENTIFICATION #
institution
Provider Business Practice Location Address Details
Address
8194 Byron Center Ave Sw
City
Byron Center
State
Michigan
Zip
49315-9401
Phone Number
616-583-7810
Fax Number
616-583-0150
person
Provider Business Mailing Address Details
Address
8194 Byron Center Ave Sw
City
Byron Center
State
Michigan
Zip
49315-9401
Phone Number
616-583-7810
Fax Number
616-583-0150
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2301008969 (Michigan)
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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