MEDICARE: KEEN FAMILY CHIROPRACTIC, PLLC

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
1	111N00000X	Chiropractor	11326	TX

General Provider Information

NPI Number	:	1184943524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEEN FAMILY CHIROPRACTIC, PLLC

Provider Business Mailing Address
First Line	:	10700 ANDERSON MILL RD STE 220
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78750-2402
Country	:	US
Telephone Number	:	512-335-8700
Fax Number	:	512-335-8702

Provider Business Practice Location Address
First Line	:	10700 ANDERSON MILL RD STE 220
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78750-2402
Country	:	US
Telephone Number	:	512-335-8700
Fax Number	:	512-335-8702

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	LINDSEY IRVINE
Credential	:
Telephone Number	:	512-740-4025

Provider Enumeration Date	:	05/25/2010
Last Update Date	:	02/10/2021

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