Individual provider · Type 1 NPI

Kelly J. Roush Icenhower, DC

Chiropractor · Gallipolis, OH

NPI number 1629018320 Active

Practice location

1051 4th Ave
Gallipolis, OH 45631-1612

Call (740) 446-5244 Map

Fax (740) 446-5565

Mailing address

90 Jackson Pike
Gallipolis, OH 45631-1560

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000X2510 (WV)
Chiropractor Primary 111N00000X2510 (OH)

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 1629018320

Kelly J. Roush Icenhower, DC's National Provider Identifier is 1629018320, issued on Jun 8, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Gallipolis, OH. The record was last updated on Jul 1, 2020.