Organization
SPINE AND JOINT INSTITUTE OF RACINE, INC
Active
Organization
SPINE AND JOINT INSTITUTE OF RACINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY GEORGE WORTH DC (OWNER/ PRESIDENT)
(262) 898-9000
Entity
Organization
Contact information
Practice address
6211 DURAND AVE, SUITE 100, RACINE, WI 53406-4956
(262) 898-9000
Mailing address
6211 DURAND AVE, SUITE 100, RACINE, WI 53406-4956
(262) 898-9000
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
4264-012
WI
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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