# ROBERT KELLY DC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Robert Kelly DC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013456482
- **Authorized official:** DR. ROBERT KELLY D.C. (OWNER)
- **Authorized official phone:** (703) 231-4609

## Contact information

- **Practice address:** 1722 BONETA AVE, RICHMOND HEIGHTS, MO 63117-2453
- **Practice address phone:** (703) 231-4609
- **Mailing address:** 1722 BONETA AVE, RICHMOND HEIGHTS, MO 63117-2453
- **Mailing address phone:** (703) 231-4609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 2015028621 | MO | Yes |

## Other

- **Enumeration date:** 02/18/2017
- **Last updated:** 02/18/2017