Kellus Ray Pruitt

NPI #1629623053 in Arlington, Texas

Provider Information

NPI Number
1629623053
Entity Type
Individual
Name
Kellus Ray Pruitt
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Chiropractor
Enumeration Date
Aug 2, 2019
Last Updated
Aug 2, 2019

Practice Location

Address
808 VALLEY OAKS CT
State
Texas
ZIP Code
76012-2864
Phone
(817) 691-6954

Specialties & Taxonomy Codes

Specialty
Chiropractor

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