Organization
AUTHENTIC SPINAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE EVAN KELLOW D.C. (PRESIDENT)
(515) 270-1700
Entity
Organization
Contact information
Practice address
2900 100TH ST STE 204, URBANDALE, IA 50322-3851
(515) 270-1700
(515) 270-1744
Mailing address
2900 100TH ST STE 204, URBANDALE, IA 50322-3851
(515) 270-1700
(515) 270-1744
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007063
IA
Other
Enumeration date
07/16/2008
Last updated
11/12/2008
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