DR. Kelly Dale Fountain, D.C.
NPI #1548389786 in Port Townsend, Washington
Provider Information
- NPI Number
- 1548389786
- Entity Type
- Individual
- Name
- DR. Kelly Dale Fountain, D.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Chiropractor
- Credential
- D.C.
- Enumeration Date
- Mar 28, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1330 LAWRENCE ST
- City
- Port Townsend
- State
- Washington
- ZIP Code
- 98368-6555
- Phone
- (360) 385-0322
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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