Healthcare Provider Details

I. General information

NPI: 1922137165
Provider Name (Legal Business Name): KEITH RANDALL DENNING D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

536 PERRY RD
GRAND BLANC MI
48439-1483
US

IV. Provider business mailing address

2202 PRAIRIE VW
GRAND BLANC MI
48439-8170
US

V. Phone/Fax

Practice location:
  • Phone: 810-498-4738
  • Fax: 248-254-7462
Mailing address:
  • Phone: 248-933-3286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301008370
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: