MEDICARE: DR. ADRIENNE C KEYSER 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
1	111N00000X	Chiropractor	CH00003272	WA

General Provider Information

NPI Number	:	1992748040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADRIENNE C KEYSER DC

Provider Business Mailing Address
First Line	:	1140 140TH AVE NE STE A
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98005-2975
Country	:	US
Telephone Number	:	425-957-0761
Fax Number	:	425-957-1156

Provider Business Practice Location Address
First Line	:	1140 140TH AVE NE STE A
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98005-2975
Country	:	US
Telephone Number	:	425-957-0761
Fax Number	:	425-957-1156

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	03/26/2008

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