Individual provider · Type 1 NPI
Keegan Richard Conrad, DC
Chiropractor · St. Petersburg, FL
NPI number
1811768609
Active
Practice location
5290 Seminole Blvd Ste A
St. Petersburg, FL 33708-3369
Mailing address
2680 Beaumont Ct
Clearwater, FL 33761-1201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH14393 (FL) |
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 1811768609
Keegan Richard Conrad, DC's National Provider Identifier is 1811768609, issued on Jan 11, 2024. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Jan 11, 2024.