| NPI | 1962564211 |
|---|---|
| Former Name | KELLY J HIBLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038011002) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: IL 038011002) |
| 111NN1001X Chiropractor, Nutrition (Licence: IL 038011002) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2021-01-18 |