Keough Chiropractic, INC
NPI #1104026913 in Grand Terrace, California
Provider Information
- NPI Number
- 1104026913
- Entity Type
- Organization
- Organization Name
- Keough Chiropractic, INC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jul 19, 2007
- Last Updated
- Oct 31, 2008
Practice Location
- Address
- 12139 MOUNT VERNON AVE STE 100
- City
- Grand Terrace
- State
- California
- ZIP Code
- 92313-5519
- Phone
- (909) 783-4950
Authorized Official
- Name
- DR. KELLY PATRICK KEOUGH, DC
- Title
- PRESIDENT
- Phone
- (909) 783-4950
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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