Individual
KELLY THOMAS BONAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
208 FRANKLIN ST, CENTER POINT, IA 52213
(319) 849-1064
(319) 849-1732
Mailing address
PO BOX 262, 208 FRANKLIN STREET, CENTER POINT, IA 52213
(319) 849-1064
(319) 849-1732
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05455
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1286203
—
IA
Enumeration date
12/19/2006
Last updated
07/08/2007
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