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Individual

KEITH PATRICK LYNCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1410 INCARNATION DR STE 202C, CHARLOTTESVILLE, VA 22901-5708
(434) 245-8456
(434) 245-8457
Mailing address
136 BUFFALO RUN RD, STANARDSVILLE, VA 22973-3659
(434) 985-6094
(434) 245-8456

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104 001987
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180813
ANTHEM BLUE CROSS AND BLU
VA
Enumeration date
05/16/2007
Last updated
04/15/2008
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