MEDICARE: KEYS CHIROPRACTIC, P. C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	08001845A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	152800	OTHER	IN	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	0000190008	OTHER	IN	BCBS

General Provider Information

NPI Number	:	1205027877
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEYS CHIROPRACTIC, P. C.

Provider Business Mailing Address
First Line	:	2422 LAKE AVE
Second Line	:	PARK LAKE MEDICAL BLDG
City	:	FORT WAYNE
State	:	IN
Zip	:	46805-5406
Country	:	US
Telephone Number	:	260-420-8803
Fax Number	:	260-420-6814

Provider Business Practice Location Address
First Line	:	2422 LAKE AVE
Second Line	:	PARK LAKE MEDICAL BLDG
City	:	FORT WAYNE
State	:	IN
Zip	:	46805-5406
Country	:	US
Telephone Number	:	260-420-8803
Fax Number	:	260-420-6814

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KIMBERLY A KEYS
Credential	:	D.C.
Telephone Number	:	260-420-8803

Provider Enumeration Date	:	08/07/2007
Last Update Date	:	08/07/2007

Similar Medicare Providers

1760480800 — BHUPENDRA K SHAH M.D.
Practice Location Address:

2452 LAKE AVE
FORT WAYNE, IN
46805-5406

Practice Phone: 260-422-9494
Practice Fax: 260-422-9142

1285610733 — FORT WAYNE MEDICAL LABORATORY CORPORATION
Practice Location Address:

2470 LAKE AVE
FT WAYNE, IN
46805-5406

Practice Phone: 260-424-2195
Practice Fax:

1639124886 — DSI RENAL INC
Practice Location Address:

2414 LAKE AVE
FORT WAYNE, IN
46805-5406

Practice Phone: 260-420-7666
Practice Fax: 260-424-2036

1912918756 — HAHNS L SHIN MD
Practice Location Address:

2434 LAKE AVE
FORT WAYNE, IN
46805-5406

Practice Phone: 260-423-2675
Practice Fax: 260-423-6621

1952312282 — KRISTINA SUE KAUFMANN DO
Practice Location Address:

2434 LAKE AVE
FORT WAYNE, IN
46805-5406

Practice Phone: 260-423-2675
Practice Fax: 260-423-6621

1609887942 — FATIMA KHURRUM MD
Practice Location Address:

2434 LAKE AVE
FORT WAYNE, IN
46805-5406

Practice Phone: 260-423-2675
Practice Fax: 260-423-6621

Directions to “KEYS CHIROPRACTIC, P. C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.