Individual
KELLEY JO WATFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
128 SWOPE AVE, COLORADO SPRINGS, CO 80909-5833
(719) 629-8333
Mailing address
PO BOX 76204, COLORADO SPRINGS, CO 80970-6204
(719) 629-8333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
31567
CA
111N00000X
Chiropractor
Primary
6875
CO
Other
Enumeration date
02/26/2010
Last updated
08/31/2012
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