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Kelly D Harris Dc Pa
Chiropractor in Idaho Falls, Idaho
NPI 1174889372

Kelly D Harris Dc Pa is a Chiropractor based in Idaho Falls, ID. Kelly D Harris Dc Pa practices in Idaho Falls, ID. The NPI Number for Kelly D Harris Dc Pa is 1174889372 and holds a License No. CHIA511 (Idaho).

The current practice location address for Kelly D Harris Dc Pa is 211 S Woodruff Ave Ste A1, Idaho Falls, ID and can be reached out via phone at 208-522-2122 and via fax at 208-529-5588.

Location: 211 S Woodruff Ave Ste A1, Idaho Falls, ID, 83401-4865
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174889372
Provider Name
Kelly D Harris Dc Pa
Credential
Provider Entity Type
Organization
Address
211 S Woodruff Ave Ste A1, Idaho Falls, ID, 83401-4865
Phone Number
208-522-2122
Fax Number
208-529-5588
Provider Enumeration Date
04/02/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001404500 05 ID
institution
Provider Business Practice Location Address Details
Address
211 S Woodruff Ave Ste A1
City
Idaho Falls
State
Idaho
Zip
83401-4865
Phone Number
208-522-2122
Fax Number
208-529-5588
person
Provider Business Mailing Address Details
Address
211 S Woodruff Ave Ste A1
City
Idaho Falls
State
Idaho
Zip
83401-4865
Phone Number
208-522-2122
Fax Number
208-529-5588
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CHIA511 (Idaho)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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