Individual
MELVIN HENRY KALLSEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D. C.
Contact information
Practice address
316 MEEKER ST, FORT MORGAN, CO 80701-2321
(970) 867-8001
(970) 867-1969
Mailing address
316 MEEKER ST, FORT MORGAN, CO 80701-2321
(970) 867-8001
(970) 867-1969
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2023
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023
STATE BOARD LICENSE NUMBE
CO
Enumeration date
03/06/2007
Last updated
07/09/2007
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