Individual
LARRY NEIL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
141 S MAIN ST, MONTESANO, WA 98563-3708
(360) 249-2745
(360) 249-2745
Mailing address
141 S MAIN ST, MONTESANO, WA 98563-3708
(360) 249-2745
(360) 249-2745
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3503
WA
Other
Enumeration date
02/02/2007
Last updated
07/09/2007
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