Kelly D Harris DC PA

NPI #1174889372 in Idaho Falls, Idaho

Provider Information

NPI Number: 1174889372
Entity Type: Organization
Organization Name: Kelly D Harris DC PA
Primary Specialty: Chiropractor
Enumeration Date: Apr 2, 2012
Last Updated: Apr 2, 2012

Practice Location

Address: 211 S WOODRUFF AVE STE A1
City: Idaho Falls
State: Idaho
ZIP Code: 83401-4865
Phone: (208) 522-2122

Authorized Official

Name: DR. KELLY D HARRIS, D.C.
Title: OWNER
Phone: (208) 522-2122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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