Provider Demographics
NPI:1730580598
Name:HOWARD, KELSEY (DC)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:D
Other - Last Name:BRAUDRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1257 COUNTY ROAD 132
Mailing Address - Street 2:
Mailing Address - City:WHITESBORO
Mailing Address - State:TX
Mailing Address - Zip Code:76273-4747
Mailing Address - Country:US
Mailing Address - Phone:580-380-6532
Mailing Address - Fax:
Practice Address - Street 1:1257 COUNTY ROAD 132
Practice Address - Street 2:
Practice Address - City:WHITESBORO
Practice Address - State:TX
Practice Address - Zip Code:76273-4747
Practice Address - Country:US
Practice Address - Phone:580-380-6532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-11
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12623111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor