Individual
ROBERT KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3415 W GLENDALE AVE STE 3A, PHOENIX, AZ 85051-8484
(602) 889-9595
Mailing address
17944 W PORT ROYALE LN, SURPRISE, AZ 85388-7586
(385) 212-6888
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
9284
AZ
Other
Enumeration date
06/06/2023
Last updated
06/08/2023
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