Provider Demographics
NPI:1902104649
Name:MCLAURIN, KELLY SIGMON (DC)
Entity Type:Individual
Prefix:DR
First Name:KELLY
Middle Name:SIGMON
Last Name:MCLAURIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 CRANBERRY ST
Mailing Address - Street 2:
Mailing Address - City:NEWLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28657-6701
Mailing Address - Country:US
Mailing Address - Phone:828-733-4848
Mailing Address - Fax:828-733-4844
Practice Address - Street 1:725 CRANBERRY ST
Practice Address - Street 2:
Practice Address - City:NEWLAND
Practice Address - State:NC
Practice Address - Zip Code:28657-6701
Practice Address - Country:US
Practice Address - Phone:828-733-4848
Practice Address - Fax:828-733-4844
Is Sole Proprietor?:No
Enumeration Date:2011-03-04
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4150111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor