Individual
DR. SAMPSON RICHARD FENNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1600 WHITEFISH STAGE, SUITE 1, KALISPELL, MT 59901-2172
(406) 755-3014
(406) 755-3214
Mailing address
1600 WHITEFISH STAGE, SUITE 1, KALISPELL, MT 59901-2172
(406) 755-3014
(406) 755-3214
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1255
MT
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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