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Individual

DAVID LEE HOLLIDAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
511 PROFESSIONAL WAY, KENDALLVILLE, IN 46755-2928
(260) 347-8177
(260) 347-8171
Mailing address
511 PROFESSIONAL WAY, KENDALLVILLE, IN 46755-2928
(260) 347-8177

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001453
IN
111NS0005X
Sports Physician Chiropractor
08001453A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100191030
IN
Enumeration date
08/01/2006
Last updated
03/06/2024
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