DR. Jerald Donald Kelly, DC

NPI #1528095460 in Longview, Texas

Provider Information

NPI Number: 1528095460
Entity Type: Individual
Name: DR. Jerald Donald Kelly, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Jun 27, 2006
Last Updated: Dec 20, 2021

Practice Location

Address: 2 DOCTOR CIR
City: Longview
State: Texas
ZIP Code: 75605-5050
Phone: (903) 753-2322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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