| NPI | 1982909818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALLEN KELLY Owner/Chiropractor 989-792-6702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301008789) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-03-15 |