Organization
ELLISON CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE JOHN ELLISON D.C. (OWNER)
(405) 387-4011
Entity
Organization
Contact information
Practice address
918 NW 32ND ST., NEWCASTLE, OK 73065-1077
(405) 387-4011
(405) 387-4041
Mailing address
PO BOX 1077, NEWCASTLE, OK 73065-1077
(405) 387-4011
(405) 387-4041
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3854
OK
Other
Enumeration date
12/20/2007
Last updated
02/11/2008
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