Individual
DR. KELLY VERNON REAGAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
300 E WATER ST, DECORAH, IA 52101-1922
(563) 382-4411
(563) 382-2124
Mailing address
300 E WATER ST, DECORAH, IA 52101-1922
(563) 382-4411
(563) 382-2124
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05825
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1119982
—
IA
Enumeration date
08/24/2005
Last updated
07/08/2007
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