Individual
KEITH DAVID MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
51 OLD CHURCH ROAD, QUILCENE, WA 98376-0484
(360) 477-9757
Mailing address
PO BOX 484, QUILCENE, WA 98376-0484
(360) 477-9757
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60131354
WA
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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