Healthcare Provider Details

I. General information

NPI: 1336575141
Provider Name (Legal Business Name): PATRICK THOMAS KEEFE JR. D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2013
Last Update Date: 09/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5850 HIGHWAY 53 SUITE N
HARVEST AL
35749-4301
US

IV. Provider business mailing address

5850 HIGHWAY 53 SUITE N
HARVEST AL
35749-4301
US

V. Phone/Fax

Practice location:
  • Phone: 256-852-2000
  • Fax: 256-852-2232
Mailing address:
  • Phone: 256-852-2000
  • Fax: 256-852-2232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1185
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: