Individual
KELLY LYNN KEENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
375 MULLET RUN, MILFORD, DE 19963-5373
(302) 422-3100
(302) 422-2900
Mailing address
205 LARISTONE CT, PROVIDENCE HILLS, CLAYTON, DE 19938-5504
(302) 223-6886
(302) 422-2900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
F1-0000449
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0149056000
AMERIHEALTH
DE
01
—
3654798
AETNA
DE
01
—
463526
IBC & HIGHMARK
DE
Enumeration date
02/02/2007
Last updated
04/30/2012
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