Provider Demographics
NPI:1417440686
Name:BIRT, KELSEY LYNEE (DOCTOR CHIROPRACTIC)
Entity type:Individual
Prefix:DR
First Name:KELSEY
Middle Name:LYNEE
Last Name:BIRT
Suffix:
Gender:F
Credentials:DOCTOR CHIROPRACTIC
Other - Prefix:DR
Other - First Name:KELSEY
Other - Middle Name:LYNEE
Other - Last Name:JACKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:908 26TH ST N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-6818
Mailing Address - Country:US
Mailing Address - Phone:937-216-0100
Mailing Address - Fax:
Practice Address - Street 1:311 N BAYSHORE DR
Practice Address - Street 2:
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-3128
Practice Address - Country:US
Practice Address - Phone:727-789-4020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-12
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12503111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor