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Individual
KELLI S. MASON
Active
Individual
KELLI S. MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0008024
CO
111N00000X
Chiropractor
1028
NE
111N00000X
Chiropractor
2438
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8404
GROUP PIN
SC
Enumeration date
08/19/2005
Last updated
06/10/2019
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