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

Maxwell Hayes Kelly, DC

Individual provider Chiropractor · NPI 1053913855

Maxwell Hayes Kelly, DC is a Chiropractic in Spokane, Washington. Graduated from Life Chiropractic College - West in 2020, 6 years ago. Practices with Fourth Avenue Chiropractic Clinic, a 4-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
6
Trained at
Life Chiropractic College - West
Licensed in
WA
In the registry since
2020
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1625 W 4th Ave Lowr 200
Spokane, WA 99201-5620
Phone: (509) 624-5855
Fax: (509) 838-5779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH61115448 (WA)

Record details

NPI number1053913855
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedNovember 16, 2020
Last updated in NPPESNovember 16, 2020
Certification dateNovember 16, 2020

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE - WEST
Graduated 2020 (6 years in practice)
Group practice Fourth Avenue Chiropractic Clinic — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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