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Individual

DR. KEITH V CONOVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4276 MAPLE ROAD, SUITE 3, AMHERST, NY 14226-1040
(716) 831-0011
(716) 831-0012
Mailing address
4276 MAPLE ROAD, SUITE 3, AMHERST, NY 14226-1040
(716) 831-0011
(716) 831-0012

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005754
NY
111N00000X
Chiropractor
X005754-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16156789901
PRISM
NY
01
8809939
INDEPENDENT HEALTH
NY
Enumeration date
06/29/2006
Last updated
03/20/2020
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