Individual
KELSEY FIERKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
624 TYVOLA RD, CHARLOTTE, NC 28217-3578
(704) 770-8436
Mailing address
624 TYVOLA RD, CHARLOTTE, NC 28217-3578
(704) 770-8436
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5287
NC
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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