Individual ProviderSusan Jane KellyChiropractorChiropractic ProvidersPractice Address8421 Wayzata Blvd, Suite 220, Golden Valley, MN 55426-1352(612) 229-4965PECOS EnrollmentBased on the most recent information from CMS, provider Susan Jane Kelly does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1942326640Provider TypeIndividualFull NameKelly, Susan JaneTitleDr.CredentialD.C.GenderFemaleSole ProprietorYesEnumeration Date3/22/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address8421 Wayzata Blvd, Suite 220, Golden Valley, MN 55426-1352Phone(612) 229-4965FaxUnlisted FaxMailing LocationMailing Address8421 Wayzata Blvd, Suite 220, Golden Valley, MN 55426-1352Phone(612) 229-4965FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense3168Minnesota