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

Kelly J. Roush Icenhower, DC

Individual provider Chiropractor · NPI 1629018320

Kelly J. Roush Icenhower, DC is a Chiropractic in Gallipolis, Ohio. Graduated from Palmer College Chiropractic - West Sunnyvale in 1996, 30 years ago. Practices with Holzer Clinic LLC, a 264-clinician group and accepts Medicare assignment. Licensed in Ohio and West Virginia.

Years since qualifying
30
Trained at
Palmer College Chiropractic - West Sunnyvale
Licensed in
OH, WV
In the registry since
2006
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1051 4th Ave
Gallipolis, OH 45631-1612
Phone: (740) 446-5244
Fax: (740) 446-5565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 2510 (OH)
Chiropractor Taxonomy 111N00000X · Licence 2510 (WV)

Record details

NPI number1629018320
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC
Sole proprietorNo
NPI enumeratedJune 8, 2006
Last updated in NPPESJuly 1, 2020
Certification dateJuly 1, 2020

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolPALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
Graduated 1996 (30 years in practice)
Group practice Holzer Clinic Llc — 264 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Gallipolis