Individual
DR. BRIAN ROBERT KELCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1785 NORTHWIND BLVD, LIBERTYVILLE, IL 60048-9617
(847) 996-0007
Mailing address
593 W KRISTINA LN, ROUND LAKE, IL 60073-5619
(319) 480-2978
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012071
IL
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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