Individual
DR. KELLY J AMOSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3510 KIMBALL AVE, SUITE B, WATERLOO, IA 50702-5760
(319) 236-2737
(319) 236-8419
Mailing address
3510 KIMBALL AVE, SUITE B, WATERLOO, IA 50702-5760
(319) 236-2737
(319) 236-8419
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A6072
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165753
—
IA
Enumeration date
08/15/2007
Last updated
08/01/2012
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