NPI | 1770573636 |
---|---|
Former Name | KELLEY S PENDLETON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH11254) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: LA 1481) |
111N00000X Chiropractor (Licence: ME CR1571) | |
Enumeration Date | 2005-10-24 |
Last Update Date | 2024-05-29 |