Individual
DR. KYLE MATTHEW ELLENSOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6110 NW 86TH ST, SUITE 102, JOHNSTON, IA 50131-2257
(515) 276-4946
(515) 276-6535
Mailing address
208 S MAIN ST, SUITE 102, OSCEOLA, IA 50213-1416
(641) 342-2122
(641) 342-2119
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007424
IA
Other
Enumeration date
09/23/2011
Last updated
12/14/2016
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