| NPI | 1245485598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY STOCKFORD PENDLETON Chiropractor 985-624-2275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: LA 1481) |
| Enumeration Date | 2008-11-28 |
| Last Update Date | 2008-11-28 |