Provider Demographics
NPI:1649849308
Name:CROW, KELSEY JO (DC)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:JO
Last Name:CROW
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 1:9904 COLLEGE BLVD
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1756
Mailing Address - Country:US
Mailing Address - Phone:913-276-0508
Mailing Address - Fax:913-390-3660
Practice Address - Street 1:9904 COLLEGE BLVD
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1756
Practice Address - Country:US
Practice Address - Phone:913-276-0508
Practice Address - Fax:913-390-3660
Is Sole Proprietor?:No
Enumeration Date:2021-06-17
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-06134111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor