DR. Kelly Wallis, D.C.
NPI #1952724395 in Fort Myers, Florida
Provider Information
- NPI Number
- 1952724395
- Entity Type
- Individual
- Name
- DR. Kelly Wallis, D.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Chiropractor
- Credential
- D.C.
- Enumeration Date
- Jan 21, 2014
- Last Updated
- Jan 21, 2014
Practice Location
- Address
- 6309 CORPORATE CT
- Address 2
- STE. 110
- City
- Fort Myers
- State
- Florida
- ZIP Code
- 33919-3538
- Phone
- (239) 433-1011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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