Organization
KELLY CHIROPRACTIC CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD GARRETT KELLY D.C. (CHIROPRACTOR/OWNER)
(910) 214-6887
Entity
Organization
Contact information
Practice address
1825 16TH ST SW, MINOT, ND 58701-6428
(701) 838-5000
(701) 852-1184
Mailing address
PO BOX 1483, MINOT, ND 58702-1483
(701) 838-5000
(701) 852-1184
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2714
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890841K
—
NC
Enumeration date
09/14/2006
Last updated
09/17/2019
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