KELLY D HARRIS

Dr KELLY D HARRIS is a male medical professional, specializing in Chiropractic. He graduated in 1986 from Los Angeles College Of Chiropractic.

Contact

211 S WOODRUFF AVE
A1
IDAHO FALLS
ID
834014865

Tel:

KELLY D HARRIS Information

Npi 1851467559
Pac Id 6507039310
Professional Enrollment Id I20111022000012
Last Name HARRIS
First Name KELLY
Middle Name D
Suffix
Gender M
Credential
Medical School Name LOS ANGELES COLLEGE OF CHIROPRACTIC
Graduation Year 1986
Primary Specialty CHIROPRACTIC
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 211 S WOODRUFF AVE
Line 2 Street Address A1
Marker Of Address Line 2 Suppression
City IDAHO FALLS
State ID
Zip Code 834014865
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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