Individual
ELIZABETH ANNE KEETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1450 ROANOKE RD, DALEVILLE, VA 24083-2935
(540) 966-0920
(844) 777-1745
Mailing address
1450 ROANOKE RD, DALEVILLE, VA 24083-2935
(907) 841-1495
(540) 966-0921
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
43
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000772
—
AK
01
—
K163013
MEDICARE PTAN
—
Enumeration date
03/17/2010
Last updated
10/11/2023
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