Healthcare Provider Details

I. General information

NPI: 1174533582
Provider Name (Legal Business Name): DENISE KEHOE DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7212 MASSACHUSETTS AVE
NEW PORT RICHEY FL
34653-2934
US

IV. Provider business mailing address

7212 MASSACHUSETTS AVE
NEW PORT RICHEY FL
34653-2934
US

V. Phone/Fax

Practice location:
  • Phone: 727-859-9700
  • Fax: 727-859-0954
Mailing address:
  • Phone: 727-859-9700
  • Fax: 727-859-0954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH9019
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: