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Dr. Kelly Patrick Keough, DC
Chiropractor in Grand Terrace, California
NPI 1407886153

Kelly Patrick Keough is a Chiropractor based in Redlands, CA. Kelly Patrick Keough practices in Grand Terrace, CA and has the professional credentials of DC. The NPI Number for Kelly Patrick Keough is 1407886153 and holds a License No. 13815 (California).

The current practice location address for Kelly Patrick Keough is 12139 Mount Vernon Ave Ste 100, Grand Terrace, CA and can be reached out via phone at 909-783-4950 and via fax at 909-783-1008.

Location: 12139 Mount Vernon Ave Ste 100, Grand Terrace, CA, 92373-7306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407886153
Provider Name
Kelly Patrick Keough
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
12139 Mount Vernon Ave Ste 100, Grand Terrace, CA, 92373-7306
Phone Number
909-783-4950
Fax Number
909-783-1008
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12139 Mount Vernon Ave Ste 100
City
Grand Terrace
State
California
Zip
92313-5519
Phone Number
909-783-4950
Fax Number
909-783-1008
person
Provider Business Mailing Address Details
Address
12139 Mount Vernon Ave Ste 100
City
Grand Terrace
State
California
Zip
92313-5519
Phone Number
909-783-4950
Fax Number
909-783-1008
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
13815 (California)
Definition
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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