Individual
DR. KELAN OLIVER CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
545 E MARKET ST, LEESBURG, VA 20176-4172
(443) 255-4283
Mailing address
545 E MARKET ST, LEESBURG, VA 20176-4172
(443) 255-4283
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557104
VA
111N00000X
Chiropractor
471398119
VA
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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