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KELLY MCKENZIE BOHAN DC

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1912418955

Individual Registrant:
 KELLY MCKENZIE BOHAN DC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4530 NELSON BROGDON BLVD  BUFORD, GA 30518-5412 US
Tel: 770-271-8949  Fax: --

Contact information for business:
2647 BROOK FOREST DR  LAWRENCEVILLE, GA 30043-7654 US
Tel: 678-595-4320  Fax: --

Registration Information:
NPI: 1912418955
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
GACHIR009960

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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