Organization
KEENE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA LEE KEENE D.C. (PRESIDENT)
(276) 698-5102
Entity
Organization
Contact information
Practice address
1295 W RIDGE RD, WYTHEVILLE, VA 24382-5009
(276) 698-5102
Mailing address
1295 W RIDGE RD, WYTHEVILLE, VA 24382-5009
(276) 698-5102
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556768
VA
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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