Individual
MRS. KELLY MARIE COOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
9643 SE TENINO CT, HAPPY VALLEY, OR 97086
(505) 417-1917
(505) 247-4326
Mailing address
9643 SE TENINO CT, HAPPY VALLEY, OR 97086
(505) 417-1917
(505) 247-4326
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1580
NM
Other
Enumeration date
09/14/2006
Last updated
12/04/2019
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