Kaly Sellers, DC | |
119 Easy Acres Loop, Afton, WY 83110-9739 | |
(706) 473-4375 | |
Not Available |
Full Name | Kaly Sellers |
---|---|
Gender | Male |
Speciality | Chiropractor - Nutrition |
Location | 119 Easy Acres Loop, Afton, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619219607 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NN1001X | Chiropractor - Nutrition | 736 (Wyoming) | Primary |
Provider Name | Eden Valley Telehealth Services |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730425471 PECOS PAC ID: 9436384021 Enrollment ID: O20131107001148 |
Mailing Address | Practice Location Address |
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Kaly Sellers, DC 119 Easy Acres Loop, Afton, WY 83110-9739 Ph: (706) 473-4375 | Kaly Sellers, DC 119 Easy Acres Loop, Afton, WY 83110-9739 Ph: (706) 473-4375 |
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