Individual
KELLI S. MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1541 OGDEN RD, MONTROSE, CO 81401-5683
(970) 252-0378
Mailing address
1807 4TH CORSO, SUITE 4, NEBRASKA CITY, NE 68410-2679
(402) 874-9044
(844) 270-5928
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0008024
CO
111N00000X
Chiropractor
1028
NE
111N00000X
Chiropractor
2438
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8404
GROUP PIN
SC
Enumeration date
08/19/2005
Last updated
06/10/2019
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