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Individual
DR. STEVEN LEE KEOGH
Active
Individual
DR. STEVEN LEE KEOGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1618
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00B02AL
BLUE CROSS
MN
01
—
0909
PREFEREDONE
MN
01
—
645027000
MEDICAL ASSISTANCE
MN
Enumeration date
06/23/2005
Last updated
01/18/2023
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