Individual
DR. MARK KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.D., L.AC
Contact information
Practice address
209 E SWALLOW RD, FORT COLLINS, CO 80525-2539
(970) 223-7425
Mailing address
209 E SWALLOW RD, FORT COLLINS, CO 80525-2539
(970) 223-7425
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
996
CO
175F00000X
Naturopath
Primary
66
MT
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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