Organization
KELLY CHIROPRACTIC CLINIC, LLC
Active
Other names
Berkley Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE JOSEPHINE KELLY DC (SOLE OWNER)
(773) 251-4006
Entity
Organization
Contact information
Practice address
3179 12 MILE RD, BERKLEY, MI 48072-1339
(773) 251-4006
Mailing address
3179 12 MILE RD, BERKLEY, MI 48072-1339
(773) 251-4006
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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