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Individual

MARK ALLEN KEHOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
908 LIBERTY STREET, FRANKLIN, PA 16323
(814) 432-5423
(814) 437-2751
Mailing address
908 LIBERTY STREET, FRANKLIN, PA 16323
(814) 432-5423
(814) 437-2751

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH4765
FL
111N00000X
Chiropractor
CHIR002307
GA
111N00000X
Chiropractor
Primary
DC002789L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010600300001
PA
01
131908
HIGHMARK
PA
Enumeration date
08/04/2006
Last updated
11/15/2012
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