Individual
DR. KELLY E BUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC LMT
Contact information
Practice address
404 S 2ND ST, ST CHARLES, IL 60174-2867
(630) 618-2137
Mailing address
9309 NE 37TH AVE, VANCOUVER, WA 98665-5323
(630) 730-5165
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.013538
IL
Other
Enumeration date
06/11/2020
Last updated
11/22/2024
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