Individual
DR. KELLY PAUL HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1234 W PIERCE ST, CARLSBAD, NM 88220-4017
(505) 885-5808
(505) 887-1011
Mailing address
1234 W PIERCE ST, CARLSBAD, NM 88220-4017
(505) 885-5808
(505) 887-1011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1467
NM
Other
Enumeration date
12/09/2006
Last updated
07/08/2007
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