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Individual
DR. KELLY MARIE KELLEN
Active
Individual
DR. KELLY MARIE KELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05868
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0133272
—
IA
01
—
50839
BCBS
IA
Enumeration date
08/15/2005
Last updated
04/15/2024
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