Organization
ROBERT KELLY DC LLC
Active
Other names
Robert Kelly DC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT KELLY D.C. (OWNER)
(703) 231-4609
Entity
Organization
Contact information
Practice address
1722 BONETA AVE, RICHMOND HEIGHTS, MO 63117-2453
(703) 231-4609
Mailing address
1722 BONETA AVE, RICHMOND HEIGHTS, MO 63117-2453
(703) 231-4609
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2015028621
MO
Other
Enumeration date
02/18/2017
Last updated
02/18/2017
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