NPI | 1053525212 |
---|---|
Doing Business As | JOHN MICHAEL KELLY |
Entity Type | Organization |
Authorized Contact | JOHN MICHAEL KELLY Chiropractor 989-792-6702 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MI JK004908) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2009-07-14 |