| NPI | 1124010376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL WILLIAM KELLEN Owner 319-393-0086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA A05868) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA A05926) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2007-10-26 |