Individual
DR. KEITH J GILLASPY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6230 JONESTOWN RD, SUITE D, HARRISBURG, PA 17112-6257
(717) 671-4455
(717) 671-1450
Mailing address
6230 JONESTOWN RD, SUITE D, HARRISBURG, PA 17112-6257
(717) 671-4455
(717) 671-1450
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC004654L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA665460
BLUE SHIELD
PA
Enumeration date
07/19/2006
Last updated
07/08/2007
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