Individual
MISS KELI HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
683 N. BROAD STREET, PHILADELPHIA, PA 19123
(215) 560-8575
(215) 560-8589
Mailing address
683 N. BROAD STREET, PHILADELPHIA, PA 19123
(215) 560-8575
(215) 560-8589
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
SO585062
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902921471
INDIVIDUAL NPI
PA
01
—
SO585062
STATE LICENSE NUMBER
PA
Enumeration date
01/24/2014
Last updated
01/24/2014
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