Individual
DR. KELLY MARIE KELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1853 51ST ST NE STE 2, CEDAR RAPIDS, IA 52402-2407
(319) 249-1909
(319) 249-1908
Mailing address
1853 51ST ST NE STE 2, CEDAR RAPIDS, IA 52402-2407
(319) 249-1909
(319) 249-1908
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05868
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0133272
—
IA
01
—
50839
BCBS
IA
Enumeration date
08/15/2005
Last updated
04/15/2024
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