Organization
KEYSTONE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED BENNETT DC (OWNER)
(918) 663-6045
Entity
Organization
Contact information
Practice address
4835 S FULTON AVE STE 103, TULSA, OK 74135-6976
(918) 663-6045
(918) 749-6577
Mailing address
4835 S FULTON AVE STE 103, TULSA, OK 74135-6976
(918) 663-6045
(918) 749-6577
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3918
OK
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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