Individual
DR. KEITH A MINIACI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
53 HIGH ST, EAST HAVEN, CT 06512-2315
(203) 469-5210
(203) 468-8598
Mailing address
111 SUNRISE HILL CIR, ORANGE, CT 06477-1132
(203) 469-5210
(203) 468-8598
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000410
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004128725
—
CT
01
—
050000410CT05
ANTHEM BCS
—
Enumeration date
09/01/2006
Last updated
02/12/2026
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