# SHAWN D KEEGAN P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** keegan Chiropractic Sports & Wellness Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558435701
- **Authorized official:** DR. SHAWN D KEEGAN D.C. (PRESIDENT OWNER)
- **Authorized official phone:** (703) 858-3500

## Contact information

- **Practice address:** 44355 PREMIER PLZ, SUITE 130, ASHBURN, VA 20147-5049
- **Practice address phone:** (703) 858-3500
- **Practice address fax:** (703) 858-9984
- **Mailing address:** 44355 PREMIER PLZ, SUITE 130, ASHBURN, VA 20147-5049
- **Mailing address phone:** (703) 858-3500
- **Mailing address fax:** (703) 858-9984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 0104001716 | VA | Yes |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 05/18/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1028511 | AETNA HMO | VA |
| 01 | — | 359084 | ALLIANCE | VA |
| 01 | — | 453947 | ANTHEM BCBS | VA |
| 01 | — | 5960597 | AETNA PPO | VA |
| 01 | — | 623895 | NCPPO | VA |