Individual
MRS. MARY JO KELCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
116 W MAIN ST, EPWORTH, IA 52045-7717
(563) 876-3231
(563) 876-3266
Mailing address
PO BOX 282, EPWORTH, IA 52045-0282
(563) 876-3231
(563) 876-3266
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A06172
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0180802
—
IA
01
—
15794
MIDLANDS CHOICE
IA
01
—
47463
WELLMARK BCBS OF IA
IA
01
—
96585
HEALTH PARTNERS
IA
Enumeration date
11/15/2005
Last updated
04/15/2014
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