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Individual

DR. DANIEL WILLIAMS KELLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1350 BOYSON RD, BLDG C, HIAWATHA, IA 52233-2211
(319) 393-0086
(319) 294-0700
Mailing address
1350 BOYSON RD, BLDG C, HIAWATHA, IA 52233-2211
(319) 393-0086
(319) 294-0700

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05926
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0133280
IA
01
52721
BCBS
Enumeration date
08/23/2005
Last updated
07/19/2010
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