Organization
CHIROPRACTIC INJURY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY I KELLER D.C. (DR. JEFFREY KELLER)
(781) 485-3801
Entity
Organization
Contact information
Practice address
199 SHIRLEY AVE, REVERE, MA 02151-3258
(781) 485-3801
Mailing address
199 SHIRLEY AVE, REVERE, MA 02151-3258
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2403
MA
Other
Enumeration date
12/27/2006
Last updated
08/22/2020
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