Authentic Spinal Care

NPI #1851555197 in Urbandale, Iowa

Provider Information

NPI Number: 1851555197
Entity Type: Organization
Organization Name: Authentic Spinal Care
Primary Specialty: Chiropractor
Enumeration Date: Jul 16, 2008
Last Updated: Nov 12, 2008

Practice Location

Address: 2900 100TH ST STE 204
City: Urbandale
State: Iowa
ZIP Code: 50322-3851
Phone: (515) 270-1700

Authorized Official

Name: DR. LANCE EVAN KELLOW, D.C.
Title: PRESIDENT
Phone: (515) 270-1700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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