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 |