Individual
DR. GAYLORD LEE KELLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1238 PINE ST, CONWAY, SC 29526
(843) 248-5814
(843) 248-0116
Mailing address
PO BOX 394, CONWAY, SC 29528-0394
(843) 248-5814
(843) 248-0116
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1407
SC
Other
Enumeration date
03/20/2006
Last updated
05/20/2008
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