Individual
BRANDON KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1156 N MAIN ST, SHERIDAN, WY 82801-3055
(970) 925-1808
Mailing address
1156 N MAIN ST, SHERIDAN, WY 82801-3055
(970) 925-1808
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
779
WY
Other
Enumeration date
03/13/2017
Last updated
05/09/2018
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