Individual
DR. KEITH ALLAN GLENN SRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2340 S 6TH ST, KLAMATH FALLS, OR 97601-4340
(541) 882-7401
(541) 883-1102
Mailing address
2340 S 6TH ST, KLAMATH FALLS, OR 97601-4340
(541) 882-7401
(541) 883-1102
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27-2087
OR
Other
Enumeration date
10/11/2006
Last updated
12/13/2007
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