Kelly Chiropractic Clinic, Llc | |
3179 12 Mile Rd, Berkley, MI 48072-1339 | |
(773) 251-4006 | |
Not Available |
Full Name | Kelly Chiropractic Clinic, Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 3179 12 Mile Rd, Berkley, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1760082705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Stephanie Josephine Kelly |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1417282864 PECOS PAC ID: 6709900814 Enrollment ID: I20150804006241 |
Mailing Address | Practice Location Address |
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Kelly Chiropractic Clinic, Llc 3179 12 Mile Rd, Berkley, MI 48072-1339 Ph: (773) 251-4006 | Kelly Chiropractic Clinic, Llc 3179 12 Mile Rd, Berkley, MI 48072-1339 Ph: (773) 251-4006 |
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