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NPI Code Detail

MEDICARE: ELIZABETH ANNE KEETER DC

MEDICARE:   ELIZABETH ANNE KEETER  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor43AK

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2K163013OTHERMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114241312
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANNE KEETER DC
Provider Business Mailing Address
First Line : 1450 ROANOKE RD
Second Line :
City : DALEVILLE
State : VA
Zip : 24083-2935
Country : US
Telephone Number : 907-841-1495
Fax Number : 540-966-0921
Provider Business Practice Location Address
First Line : 1450 ROANOKE RD
Second Line :
City : DALEVILLE
State : VA
Zip : 24083-2935
Country : US
Telephone Number : 540-966-0920
Fax Number : 844-777-1745
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2010
Last Update Date : 10/11/2023

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Directions to “ ELIZABETH ANNE KEETER DC” Practice Location

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