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NPI Code Detail

MEDICARE: DR. KELSIE KEEN D.C.

MEDICARE:  DR. KELSIE  KEEN  D.C.
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
1111N00000XChiropractor11326TX

General Provider Information

NPI Number : 1194047720
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KELSIE KEEN D.C.
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 :
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 :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2010
Last Update Date : 02/24/2010

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Directions to “ DR. KELSIE KEEN D.C.” Practice Location

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