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Kelly Anne Sudore, RN,BSN,DC
Chiropractor in Monroe, Washington
NPI 1669512828

Kelly Anne Sudore is a Chiropractor based in Monroe, WA. Kelly Anne Sudore practices in Monroe, WA and has the professional credentials of RN,BSN,DC. The NPI Number for Kelly Anne Sudore is 1669512828 and holds a License No. CH00033602 (Washington).

The current practice location address for Kelly Anne Sudore is 328 W Main St, Monroe, WA and can be reached out via phone at 360-794-4500 and via fax at 360-863-1640.

Location: 328 W Main St, Monroe, WA, 98272-1812
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669512828
Provider Name
Kelly Anne Sudore
Credential
RN,BSN,DC
Provider Entity Type
Individual
Gender
Female
Address
328 W Main St, Monroe, WA, 98272-1812
Phone Number
360-794-4500
Fax Number
360-863-1640
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
402450 01 WA OTHER
institution
Provider Business Practice Location Address Details
Address
328 W Main St
City
Monroe
State
Washington
Zip
98272-1812
Phone Number
360-794-4500
Fax Number
360-863-1640
person
Provider Business Mailing Address Details
Address
328 W Main St
City
Monroe
State
Washington
Zip
98272-1812
Phone Number
360-794-4500
Fax Number
360-863-1640
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH00033602 (Oregon)
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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