Individual
KELLIANNE ERIKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
625 N 3RD ST, BARDSTOWN, KY 40004-1750
(502) 331-0001
Mailing address
PO BOX 2588, ELIZABETHTOWN, KY 42702-2588
(270) 737-7597
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5263
KY
Other
Enumeration date
11/12/2010
Last updated
05/11/2011
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