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Individual

DR. JOSEPH ROBERT KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
12305 120TH AVE NE, SUITE A, KIRKLAND, WA 98034-6921
(425) 820-2777
(425) 821-5528
Mailing address
12305 120TH AVE NE, SUITE A, KIRKLAND, WA 98034-6921
(425) 820-2777
(425) 821-5528

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003676
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0129284
DEPT OF LABOR AND INDUSTR
WA
01
KE7942
REGENCE RYDER
WA
Enumeration date
08/24/2006
Last updated
10/19/2007
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