Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184055873 Individual Practitioner Female Practitioner

Dr. Kelley Lumbard , DC

Chiropractor • Eagan, MN

Professional Overview & Biography Verified Profile Summary

Dr. Kelley Lumbard, DC is a registered healthcare professional specializing in Chiropractor in Eagan, MN. Practice services are available at 1519 CENTRAL PKWY STE 260 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1519 Central Pkwy Ste 260

Eagan, MN 551212488

Telephone 6125786001
Associated Practice Facility / Clinic
🏢 612 Chiropractic & Wellness Facility NPI 1518414382

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Eagan, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.1 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
66 Specialists

Practicing in Eagan, MN (3487 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-09-08
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MN 6232

A provider qualified by 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.

Secondary Practice Locations

2025 4th St

White Bear Lake, MN 551102762

Phone: 6512105261

968 Grand Ave

Saint Paul, MN 551053014

Phone: 6512105261

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Laura Akers , LICSW

Social Worker - Clinical

NPI 1477474971

Licensed Independent Clinical Social Worker

Heather Penm , LAMFT

Marriage & Family Therapist

NPI 1801599212
Annalise Rehwaldt , LICSW

Social Worker - Clinical

NPI 1942097795

Licensed Independent Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 08, 2022

Registered at 1519 CENTRAL PKWY STE 260, EAGAN, MN 551212488 (Tel: 6125786001)

📍
Updated Business Mailing Address September 08, 2022

Registered at 4616 BLACK WOLF RUN, EAGAN, MN 551233400 (Tel: 6125786001)

📍
Updated Practice Location August 07, 2019

Registered at 2025 4TH ST, WHITE BEAR LAKE, MN 551102762 (Tel: 6512105261)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2019

Chiropractor (License #6232 in MN)

NPI Profile Active September 12, 2016

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address September 12, 2016

Registered at 2211 MONROE ST NE, MINNEAPOLIS, MN 554183635 (Tel: 6125786001)

📍
Updated Practice Location September 12, 2016

Registered at 750 MAIN ST, STE 100, MENDOTA HEIGHTS, MN 551183765 (Tel: 6513199525)

👤
Provider Name / Credentials Updated September 12, 2016

Recorded as KELLEY LUMBARD, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2016

Chiropractor (License #4985-12 in WI)

🟢
Initial NPI Registration & Enumeration December 05, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184055873
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2013
Last Update: September 08, 2022
Sole Proprietor: No

Mailing Address

4616 Black Wolf Run

Eagan, MN 551233400

Phone: 6125786001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.