Individual
DR. KEITH A STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
543 ROBERTS CT NW, SUITE B, KENNESAW, GA 30144-4830
(770) 429-1515
(770) 429-8185
Mailing address
4222 TAYLOR ST, ACWORTH, GA 30101-5048
(678) 595-3475
(770) 429-8185
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007707
GA
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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