Individual
DR. BRIAN M KEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
504 RED BANKS RD # C, GREENVILLE, NC 27858-5725
(252) 321-3579
Mailing address
504 RED BANKS RD # C, GREENVILLE, NC 27858-5725
(252) 321-3579
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2609
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017AW
BC/BS PROVIDER ID NUMBER
NC
05
—
890835L
—
NC
Enumeration date
09/20/2006
Last updated
12/13/2007
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