Organization
KELLEY CHIROPRACTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN KELLEY DC (OWNER)
(541) 265-5132
Entity
Organization
Contact information
Practice address
111 SE DOUGLAS ST STE F1, NEWPORT, OR 97365-4434
(541) 265-5132
Mailing address
111 SE DOUGLAS ST STE F1, NEWPORT, OR 97365-4434
(541) 265-5132
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
271969
OR
Other
Enumeration date
08/19/2013
Last updated
02/09/2021
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