Dr. Kelly Melissa Knewtson, DC
Chiropractor in Excelsior, MN. Individual provider (NPI-1).
NPI number1790799260
StatusActive
Last updated in NPPESSep 23, 2011
Details
- NPI
- 1790799260
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kelly Melissa Knewtson
- Credential
- DC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2006
- Last updated
- Sep 23, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CHIROPRACTIC
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | MN3872 | MN | Yes |
Practice location
23505 Smithtown RdSuite 100
Excelsior, MN 55331-4541
Phone 952-470-8555 · Fax 952-401-8785
Mailing address
23505 Smithtown RdSuite 100
Excelsior, MN 55331-4541
Phone 952-470-8555 · Fax 952-401-8785
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 46 Chiropractor providers in Excelsior · All 282 providers in Excelsior
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