Organization
BACK TO HEALTH CHIROPRACTIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG KELLEY D.C. (OWNER)
(831) 373-5636
Entity
Organization
Contact information
Practice address
1077 CASS ST STE C, MONTEREY, CA 93940-4551
(831) 373-5636
Mailing address
1077 CASS ST STE C, MONTEREY, CA 93940-4551
(831) 373-5636
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
20658
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0206580
BLUE SHIELD
CA
Enumeration date
11/17/2008
Last updated
12/05/2008
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