Individual
DR. JORDAN DANIEL KECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
528 N STATE ST, SHELLEY, ID 83274-1154
(208) 357-0333
(208) 357-2299
Mailing address
528 N STATE ST, SHELLEY, ID 83274-1154
(208) 357-0333
(208) 357-2299
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1673
ID
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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