Donnelly Chiropractic SC
NPI 1306045000ActiveOrganization· Chiropractor, Sports Physician· West Allis, WI
Chiropractor, Sports Physician in West Allis, Wisconsin, registered in NPPES in July 2007. The authorized official on file is Kevin B. Donnelly, D.C., Chiropractor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1306045000 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 12, 2007 |
| Last updated in NPPES | Mar 9, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor, Sports Physician Primary | 111NS0005X | 3784-012 | WI |
| Chiropractor | 111N00000X | 3785-012 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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