Organization
DC DIRECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK JOHN KELLY DC (OWNER)
(901) 486-3559
Entity
Organization
Contact information
Practice address
8332 PARK PIKE, SOUTHAVEN, MS 38671-7304
(901) 486-3559
Mailing address
8332 PARK PIKE, SOUTHAVEN, MS 38671-7304
(901) 486-3559
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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