Individual
MR. KELLY CHRISTOPHER GOLOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
128 D ST SW STE A, TUMWATER, WA 98501-4064
(360) 570-9580
(360) 570-9583
Mailing address
128 D ST SW STE A, TUMWATER, WA 98501-4064
(360) 570-9580
(360) 570-9583
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60198422
WA
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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