Healthcare Provider Details

I. General information

NPI: 1053943795
Provider Name (Legal Business Name): HEALTHQUEST CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2020
Last Update Date: 02/24/2020
Certification Date: 02/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

178 E 4TH ST
RUSSELLVILLE KY
42276-1820
US

IV. Provider business mailing address

PO BOX 156
ROCKFIELD KY
42274-0156
US

V. Phone/Fax

Practice location:
  • Phone: 270-726-3164
  • Fax: 270-726-1520
Mailing address:
  • Phone: 270-726-3164
  • Fax: 270-726-1520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. KEITH A JONES
Title or Position: OWNER/MANAGER
Credential: DC
Phone: 270-726-3164