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NPI Code Detail

MEDICARE: ALYSSA SMITH KEIMIG D.C.

MEDICARE: ALYSSA SMITH KEIMIG D.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
1111N00000XChiropractorCH11590FL
2111N00000XChiropractorS03575MD

General Provider Information

NPI Number : 1881855799
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA SMITH KEIMIG D.C.
Provider Business Mailing Address
First Line : 14038 HAZELWOOD CT
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32224-0869
Country : US
Telephone Number : 443-235-6039
Fax Number : 904-212-1072
Provider Business Practice Location Address
First Line : 983 ATLANTIC BLVD STE 119
Second Line :
City : ATLANTIC BEACH
State : FL
Zip : 32233-3311
Country : US
Telephone Number : 904-203-4983
Fax Number : 904-212-1072
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2008
Last Update Date : 07/07/2023

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