KELLY S STORK

MERIDIAN, ID
NPI1306972427
Professional NameKELLY S MIX
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: ID  CHIA-1096)
Enumeration Date2007-02-25
Last Update Date2007-07-08
Business Address
Dr. KELLY S STORK DC
2011 N LOCUST GROVE RD
MERIDIAN, ID 83642-1827
Phone number: 208-888-8797
Mailing Address
Dr. KELLY S STORK DC
2011 N LOCUST GROVE RD
MERIDIAN, ID 83642-1827
Phone number: 208-888-8797