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423 W Main St, Tipp City, OH 45371-1820 | |
(937) 667-2222 | |
(937) 667-5321 |
Full Name | |
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Type | Facility |
Speciality | Family Medicine |
Location | 423 W Main St, Tipp City, Ohio |
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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1053485631 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 3406 (Ohio) | Primary |
207Q00000X | Family Medicine | 35044154 (Ohio) | Primary |
Provider Name | Kelly Lynn Borchers |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1699848549 PECOS PAC ID: 4880660315 Enrollment ID: I20040907000890 |
Mailing Address | Practice Location Address |
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877 Hickory Ln, Troy, OH 45373-4409 Ph: (937) 335-1275 | 423 W Main St, Tipp City, OH 45371-1820 Ph: (937) 667-2222 |