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Organization
KEVIN M KELLY CHIROPRACTIC INC
Active
Organization
KEVIN M KELLY CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MICHAEL KELLY DC (CEO)
(805) 496-6104
Entity
Organization
Contact information
Practice address
15901 HAWTHORNE BLVD, SUITE 420, LAWNDALE, CA 90260-2655
(310) 214-9555
Mailing address
15901 HAWTHORNE BLVD, SUITE 420, LAWNDALE, CA 90260-2655
(310) 214-9555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC17725
CA
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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