Individual
DR. GRACE ANN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1440 5TH ST, SUITE 1, CORALVILLE, IA 52241-1853
(319) 354-2468
Mailing address
1006 5TH ST, STE 102, CORALVILLE, IA 52241-2902
(563) 505-7334
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06765
IA
111N00000X
Chiropractor
38MC00617000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0470278
—
IA
Enumeration date
02/15/2006
Last updated
05/04/2016
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