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Individual

DR. STEVEN LEE KEOGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1140 VANROOY DRIVE, THIEF RIVER FALLS, MN 56701-2007
(218) 681-2225
(218) 681-4655
Mailing address
1140 VANROOY DRIVE, THIEF RIVER FALLS, MN 56701-2007
(218) 681-2225
(218) 681-4655

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1618
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00B02AL
BLUE CROSS
MN
01
0909
PREFEREDONE
MN
01
645027000
MEDICAL ASSISTANCE
MN
Enumeration date
06/23/2005
Last updated
01/18/2023
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