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

Kellus Ray Pruitt

Individual provider Chiropractor · NPI 1629623053

Kellus Ray Pruitt is a Chiropractic in Arlington, Texas. Qualified in 2018, 8 years ago. Practices with Jaywhy Inc, a 5-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2019
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Practice location Address checks out

808 Valley Oaks Ct
Arlington, TX 76012-2864
Phone: (817) 691-6954
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 13874 (TX)

Record details

NPI number1629623053
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 2, 2019
Last updated in NPPESAugust 2, 2019
Mailing address808 Valley Oaks Ct, Arlington, TX 76012-2864

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Jaywhy Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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