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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