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Individual
DR. JANINE DIANE KELLY
Active
Individual
DR. JANINE DIANE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008030
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P1107205
OXFORD
NY
01
—
X06B11
BLUE CROSS
NY
Enumeration date
05/31/2006
Last updated
06/27/2022
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