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Kelly Wade Smith, DC
Chiropractor in Fergus Falls, Minnesota
NPI 1912994476

Kelly Wade Smith is a Chiropractor based in Fergus Falls, MN. Kelly Wade Smith practices in Fergus Falls, MN and has the professional credentials of DC. The NPI Number for Kelly Wade Smith is 1912994476 and holds a License No. 3250 (Minnesota).

The current practice location address for Kelly Wade Smith is 104 W Lincoln Ave, Fergus Falls, MN and can be reached out via phone at 218-736-4113 and via fax at 218-998-4337.

Location: 104 W Lincoln Ave, Fergus Falls, MN, 56537-2123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912994476
Provider Name
Kelly Wade Smith
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
104 W Lincoln Ave, Fergus Falls, MN, 56537-2123
Phone Number
218-736-4113
Fax Number
218-998-4337
Provider Enumeration Date
09/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4C542SM 01 MN BLUE CROSS/BLUE SHIELD
231907 01 MN CHIROCARE
institution
Provider Business Practice Location Address Details
Address
104 W Lincoln Ave
City
Fergus Falls
State
Minnesota
Zip
56537-2123
Phone Number
218-736-4113
Fax Number
218-998-4337
person
Provider Business Mailing Address Details
Address
104 W Lincoln Ave
City
Fergus Falls
State
Minnesota
Zip
56537-2123
Phone Number
218-736-4113
Fax Number
218-998-4337
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3250 (Minnesota)
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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