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Organization
CCC PC
Active
Organization
CCC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLI S CONFER DC (PRESIDENT OWNER)
(712) 623-3526
Entity
Organization
Contact information
Practice address
404 N 5TH ST, P.O. 407, RED OAK, IA 51566-2323
(712) 623-3526
Mailing address
404 NO 5TH ST, P.O. 407, RED OAK, IA 51566-2323
(712) 623-3526
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06364
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231944
MIDLANDS CHOICE
IA
01
—
24813
BCBS
IA
01
—
484847348
SS#
IA
Enumeration date
08/09/2006
Last updated
06/21/2018
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