Organization
DR KELLYS HOUSE CALLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY JOAN WOLF DC (OWNER/ CHIROPRACTOR)
(262) 287-0903
Entity
Organization
Contact information
Practice address
S57W29735 SAYLESVILLE RD, WAUKESHA, WI 53189-9036
(262) 287-0903
Mailing address
S57W29735 SAYLESVILLE RD, WAUKESHA, WI 53189-9036
(262) 287-0903
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3919-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38947400
—
WI
Enumeration date
12/06/2017
Last updated
12/06/2017
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