Organization
FAIRVIEW FAMILY & SPORTS CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN MARK KEEN D.C. (PRESIDENT)
(580) 227-3515
Entity
Organization
Contact information
Practice address
301 W ELM ST, FAIRVIEW, OK 73737-1618
(580) 227-3515
(580) 227-3667
Mailing address
301 W ELM ST, FAIRVIEW, OK 73737-1618
(580) 227-3515
(580) 227-3667
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2433
OK
Other
Enumeration date
04/17/2011
Last updated
04/17/2011
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