| Robert Kelly Dc Llc | |
|
1722 Boneta Ave Richmond Heights MO 63117-2453 | |
| (703) 231-4609 | |
| Not Available |
| Full Name | Robert Kelly Dc Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1722 Boneta Ave, Richmond Heights, Missouri |
| Authorized Official Name and Position | Robert Kelly (OWNER) |
| Authorized Official Contact | 7032314609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Kelly Dc Llc 1722 Boneta Ave Richmond Heights MO 63117-2453 Ph: (703) 231-4609 | Robert Kelly Dc Llc 1722 Boneta Ave Richmond Heights MO 63117-2453 Ph: (703) 231-4609 |
| NPI Number | 1013456482 |
|---|---|
| Provider Enumeration Date | 02/18/2017 |
| Last Update Date | 02/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013456482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2015028621 (Missouri) | Primary |
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