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Individual

DR. KENLY LEONARD RIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
100 W WHITE MOUNTAIN BLVD, SUITE C, LAKESIDE, AZ 85929-6878
(928) 367-4640
(928) 367-5572
Mailing address
100 W WHITE MOUNTAIN BLVD, SUITE C, LAKESIDE, AZ 85929-6878
(928) 367-4640
(928) 367-5572

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8127
AZ

Other

Enumeration date
06/17/2010
Last updated
06/17/2010
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