| NPI | 1952482671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE STEPHANIE KELSEY President Of Professional Corp 219-477-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08001339A) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |