Individual
DR. IVAN F KELLEY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
111 SE DOUGLAS ST STE F1, NEWPORT, OR 97365-4434
(541) 265-5132
Mailing address
111 SE DOUGLAS ST STE F1, NEWPORT, OR 97365-4434
(541) 265-5132
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
271969
OR
Other
Enumeration date
12/18/2006
Last updated
02/09/2021
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