NPI | 1427194869 |
---|---|
Other Name | KELLY RENEE VAN HORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 006186) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 0104184) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2010-01-14 |