Individual provider · Type 1 NPI

Kelly Anne Sudore, R.N., B.S.N., DC

Chiropractor · Monroe, WA

NPI number 1669512828 Active

Practice location

328 W Main St
Monroe, WA 98272-1812

Call (360) 794-4500 Map

Fax (360) 863-1640

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH00033602 (OR)

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 1669512828

Kelly Anne Sudore, R.N., B.S.N., DC's National Provider Identifier is 1669512828, issued on Feb 7, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Monroe, WA. The record was last updated on Jul 9, 2007.