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Individual

DR. KELSEY MATTHEW HENRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1065 SOUTH SECOND ST, MASON, WV 25260-9724
(304) 773-5773
(304) 773-5773
Mailing address
1065 SOUTH SECOND ST, MASON, WV 25260-9724
(304) 773-5773
(304) 773-5773

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3489
OH
111N00000X
Chiropractor
Primary
816
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2657218
OH
05
3810003445
WV
Enumeration date
09/20/2006
Last updated
10/22/2007
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