Individual
DR. KELLY DENAMUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
414 N FAYETTEVILLE ST, ASHEBORO, NC 27203-4727
(336) 633-3030
Mailing address
869 ANNS CT, ASHEBORO, NC 27205-7729
(336) 636-5599
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2370
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0840W
BCBS OF NC
NC
05
—
890840W
—
NC
Enumeration date
03/19/2007
Last updated
07/08/2007
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