Individual
MAXWELL HAYES KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1625 W 4TH AVE LOWR 200, SPOKANE, WA 99201-5620
(509) 624-5855
(509) 838-5779
Mailing address
1625 W 4TH AVE LOWR 200, SPOKANE, WA 99201-5620
(509) 624-5855
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH61115448
WA
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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