DR. Kelly Patrick Keough, D.C.

NPI #1407886153 in Grand Terrace, California

Provider Information

NPI Number: 1407886153
Entity Type: Individual
Name: DR. Kelly Patrick Keough, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jul 5, 2006
Last Updated: Nov 4, 2008

Practice Location

Address: 12139 MOUNT VERNON AVE STE 100
City: Grand Terrace
State: California
ZIP Code: 92313-5519
Phone: (909) 783-4950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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Organizations

Provider Name	Specialty	City
Keough Chiropractic, INC	Chiropractor	Grand Terrace	AI Deep Dive

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