Organization
KELLY CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ALAN KELLY JR. DC (CHIROPRACTOR)
(701) 837-5733
Entity
Organization
Contact information
Practice address
1415 2ND AVE SW, MINOT, ND 58701-3629
(701) 837-5733
(701) 838-1513
Mailing address
1415 2ND AVE SW, MINOT, ND 58701-3629
(701) 837-5733
(701) 838-1513
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
749
ND
111N00000X
Chiropractor
762
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13526
—
ND
Enumeration date
09/21/2006
Last updated
10/31/2008
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