Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kerry Louis Clisby Jr., DC

Individual provider Chiropractor · NPI 1881883155

Dr. Kerry Louis Clisby Jr., DC is a Chiropractic in Long Beach, California. Qualified in 2005, 21 years ago. Practices with Superior Joint and Spine Medical Center Inc, a 10-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
21
Licensed in
CA
In the registry since
2007
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

100 W Broadway Ste 1400
Long Beach, CA 90802-4431
Phone: (562) 495-2121
Fax: (562) 495-3131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 30596 (CA)

Record details

NPI number1881883155
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedOctober 23, 2007
Last updated in NPPESJune 24, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Superior Joint And Spine Medical Center Inc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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