Organization
KELLEY CHIROPRACTIC WELLNESS CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH R KELLEY DC (MANAGING MEMBER)
(425) 820-2777
Entity
Organization
Contact information
Practice address
12305 120TH AVE NE, SUITE A, KIRKLAND, WA 98034-6921
(425) 820-2777
(425) 821-5528
Mailing address
12305 120TH AVE NE, SUITE A, KIRKLAND, WA 98034-6921
(425) 820-2777
(425) 821-5528
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003676
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129284
LABOR & INDUSTRIES
WA
01
—
KE7942
REGENCE RYDER NUMBER
WA
Enumeration date
05/03/2007
Last updated
10/18/2007
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