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Organization

BRAUCHLA FAMILY CHIROPRACTIC PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KELLY ANN BRAUCHLA DC (CHIROPRACTOR)
(765) 642-7246
Entity
Organization

Contact information

Practice address
523 W 38TH ST, ANDERSON, IN 46013-4021
(765) 642-7246
(765) 642-6986
Mailing address
523 W 38TH ST, ANDERSON, IN 46013-4021
(765) 642-7246
(765) 642-6986

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
08002181A
IN
111N00000X
Chiropractor
Primary
08002193A
IN
111N00000X
Chiropractor
2301008788
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200512770A
IN
Enumeration date
12/19/2007
Last updated
10/05/2016
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