Individual provider · Type 1 NPI
Kelly Patrick Keough, DC
Chiropractor · Grand Terrace, CA
Practice location
12139 Mount Vernon Ave Ste 100
Grand Terrace, CA 92313-5519
Fax (909) 783-1008
Mailing address
1944 Country Club Dr
Redlands, CA 92373-7306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 13815 (CA) |
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.
4 other providers at this address
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About NPI 1407886153
Kelly Patrick Keough, DC's National Provider Identifier is 1407886153, issued on Jul 5, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Grand Terrace, CA. The record was last updated on Nov 4, 2008.