# KELLY CHIROPRACTIC, PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821396078
- **Authorized official:** DR. THOMAS J KELLY DC, DIBCN (CHIROPRACTIC NEUROLOGIST)
- **Authorized official phone:** (360) 882-0767

## Contact information

- **Practice address:** 6700 NE 162ND AVE, SUITE 415, VANCOUVER, WA 98682-3858
- **Practice address phone:** (360) 882-0767
- **Mailing address:** 6700 NE 162ND AVE, SUITE 415, VANCOUVER, WA 98682-3858
- **Mailing address phone:** (360) 882-0767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN0400X | Neurology Chiropractor | CH00003084 | WA | Yes |

## Other

- **Enumeration date:** 03/10/2011
- **Last updated:** 03/10/2011