Kelly J. Roush Icenhower is a Gallipolis, Ohio based female chiropractor with 28 years of experience in General Chiropractor. She completed her graduation from Palmer College Chiropractic - West Sunnyvale in 1996. She is also affiliated with hospitals like Holzer Medical Center. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kelly J. Roush Icenhower as General Chiropractor is 2510 in Ohio. Kelly J. Roush Icenhower is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Kelly J. Roush Icenhower speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC
Experience:
28+ years
Medical School Attended:
Palmer College Chiropractic - West Sunnyvale
Graduation Year:
1996
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
1051 4th Ave, Gallipolis, Ohio, 45631-1612
Phone:
740-446-5244
Fax:
740-446-5565
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4789775909
Enrollment ID:
I20070802000213
NPI Number:
1629018320
NPI Enumeration Date:
08 Jun, 2006
NPI Last Update On:
01 Jul, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly J. Roush Icenhower are as mentioned below.
License Number
Specialization
State
Status
2510
Chiropractor
Ohio
Primary
2510
General Chiropractor
West Virginia
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Holzer Medical Center (360054)
Gallipolis, OH
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Kelly J. Roush Icenhower is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Holzer Clinic Llc (5890606008)
249
Holzer Clinic Llc (5890606008)
249
Other Medical Identifiers:
Other legacy medical identifiers associated with Kelly J. Roush Icenhower such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
350039394
Other
RR MEDICARE
000000185276
Other
Ohio
UNISON MEDICAID
2026677
Medicaid
Ohio
000000007692
Other
ANTHEM BCBS
0132242000
Medicaid
West Virginia
001714092
Other
MOUNTAIN STATE BCBS
310917085149
Other
Ohio
CARESOURCE MEDICAID
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
90 Jackson Pike, Gallipolis, Ohio
Zip:
45631-1560
Phone Number:
740-446-5244
Fax Number:
740-446-5565
Patients can reach Kelly J. Roush Icenhower at 1051 4th Ave, Gallipolis, Ohio or can call to book an appointment on 740-446-5244. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 June, 2024.