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General NPI Number Information
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NPI Number | 1902009913
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Entity Type | Organization
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Legal Business Name | KELLING CHIORPRACTIC CENTER
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 310 S PLATTE CLAY WAY STE A
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City | KEARNEY
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State | MO
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Zip | 64060-8797
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Country | US
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Telephone | 816-628-6141
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Fax | 816-628-6541
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Provider Business Mailing Address
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Address Line | 310 S PLATTE CLAY WAY STE A
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City | KEARNEY
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State | MO
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Zip | 64060-8797
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Country | US
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Telephone | 816-628-6141
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Fax | 816-628-6541
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRIAN R KELLING SR.
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Credential | DC
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Telephone | 816-628-6141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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