Individual
DR. ROBERT KELLY HASELDEN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
402 ALTMAN ST, MONCKS CORNER, SC 29461-3652
(843) 761-8522
(843) 761-8560
Mailing address
402 ALTMAN ST, MONCKS CORNER, SC 29461-3652
(843) 761-8522
(843) 761-8560
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
627
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155013700
OWCP
—
Enumeration date
03/21/2007
Last updated
09/12/2012
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