| NPI | 1811080682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KELLY Chiropractor 701-837-5733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 749) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ND 762) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-10-31 |