Healthcare Provider Details

I. General information

NPI: 1811671985
Provider Name (Legal Business Name): HAYLEE RAEANN MCKEEHAN DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2023
Last Update Date: 06/09/2023
Certification Date: 06/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7615 AUSTIN BLUFFS PKWY UNIT 100
COLORADO SPRINGS CO
80920-2901
US

IV. Provider business mailing address

7615 AUSTIN BLUFFS PKWY UNIT 100
COLORADO SPRINGS CO
80920-2901
US

V. Phone/Fax

Practice location:
  • Phone: 719-522-1219
  • Fax: 719-522-1648
Mailing address:
  • Phone: 719-522-1219
  • Fax: 719-522-1648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHR.0008679
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: