Organization
ADVANCED CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL D KELLY DC (CHIROPRACTOR)
(231) 779-2100
Entity
Organization
Contact information
Practice address
932 N MITCHELL ST, SUITE 6, CADILLAC, MI 49601-1285
(231) 779-2100
(231) 779-3050
Mailing address
932 N MITCHELL ST, SUITE 6, CADILLAC, MI 49601-1285
(231) 779-2100
(231) 779-3050
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005477
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OH35007
MEDICARE
MI
Enumeration date
08/28/2012
Last updated
08/28/2012
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