Individual
DR. KAYLA BETH ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
123 AVENUE C, CLOQUET, MN 55720-1563
(218) 879-1556
(218) 879-1568
Mailing address
123 AVENUE C, CLOQUET, MN 55720-1563
(218) 879-1556
(218) 879-1568
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5990
MN
Other
Enumeration date
12/01/2014
Last updated
09/11/2024
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