Individual
DR. KELLY M SPORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
504 VIGO ST, VINCENNES, IN 47591-1145
(812) 886-4227
(812) 886-3849
Mailing address
504 VIGO ST, VINCENNES, IN 47591-1145
(812) 886-4227
(812) 886-3849
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002247A
IN
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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