Individual provider · Type 1 NPI

Kelly S. Stork, DC

Chiropractor · Meridian, ID

NPI number 1306972427 Active

Practice location

2011 N Locust Grove Rd
Meridian, ID 83642-1827

Fax (208) 888-8799

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIA-1096 (ID)

Chiropractor: 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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About NPI 1306972427

Kelly S. Stork, DC's National Provider Identifier is 1306972427, issued on Feb 25, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Meridian, ID. The record was last updated on Jul 8, 2007.