Individual
DR. KRISTA C KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1415 2ND AVE SW, MINOT, ND 58701-3629
(701) 837-5733
Mailing address
1415 2ND AVE SW, MINOT, ND 58701-3629
(701) 837-5733
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
762
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13528
—
ND
Enumeration date
01/26/2006
Last updated
10/31/2008
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