Individual
MR. KEITH THEODORE HELMENDACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7215 LEBANON RD, A, CHARLOTTE, NC 28227
(704) 573-7161
(704) 573-7161
Mailing address
6520 GOLD WAGON LN, CHARLOTTE, NC 28227
(704) 545-0429
(704) 545-7708
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1833
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08959
BCBS
NC
05
—
890850G
—
NC
Enumeration date
12/04/2006
Last updated
07/08/2007
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