Individual
MRS. KELLY K MC COY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
133 N MAIN ST, JANESVILLE, MN 56048-9538
(507) 234-5134
(507) 234-5134
Mailing address
PO BOX 148, JANESVILLE, MN 56048-0148
(507) 234-5134
(507) 234-5134
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2529
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
582228900
—
MN
Enumeration date
08/10/2005
Last updated
09/28/2011
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