# AUTHENTIC SPINAL CARE

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

## Provider details

- **NPI number:** 1851555197
- **Authorized official:** DR. LANCE EVAN KELLOW D.C. (PRESIDENT)
- **Authorized official phone:** (515) 270-1700

## Contact information

- **Practice address:** 2900 100TH ST STE 204, URBANDALE, IA 50322-3851
- **Practice address phone:** (515) 270-1700
- **Practice address fax:** (515) 270-1744
- **Mailing address:** 2900 100TH ST STE 204, URBANDALE, IA 50322-3851
- **Mailing address phone:** (515) 270-1700
- **Mailing address fax:** (515) 270-1744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 007063 | IA | Yes |

## Other

- **Enumeration date:** 07/16/2008
- **Last updated:** 11/12/2008
